Fracture-dislocations of the proximal interphalangeal joint

John Elfar, Tobias Mann

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

Abstract

Fracture-dislocations of the proximal interphalangeal joint encompass a spectrum of injury severity, ranging from injuries that require little intervention to those that require advanced reconstructive surgery for optimal outcome. Three fracture-dislocation patterns are recognized: dorsal, volar, and pilon. Acceptable outcome is dependent on achieving and maintaining a well-aligned and well-reduced joint, re-establishing normal joint kinematics, and restoring motion. Anatomic articular surface reduction is desirable but not absolutely necessary for a good outcome. Treatment depends on both the type of injury and patient-dependent factors. Optimal outcome for a specific injury is predicated on expedient diagnosis and recognition of injury severity, which enables initiation of appropriate management.

Original languageEnglish (US)
Pages (from-to)88-98
Number of pages11
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume21
Issue number2
DOIs
StatePublished - Feb 2013

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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