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Current Trends in the Management of Proximal Interphalangeal Joint Injuries of the Hand

Current Trends in the Management of Proximal Interphalangeal Joint Injuries of the Hand HAND/PERIPHERAL NERVE Current Trends in the Management of Proximal Interphalangeal Joint Injuries of the Hand Joseph S. Khouri, M.D. Summary: Injuries to the proximal interphalangeal joint are commonly en- Jacob M. P. Bloom, M.D. countered by the hand surgeon. Proper diagnosis and treatment are vital Warren C. Hammert, M.D. for optimal outcomes. Proper treatment of these injuries requires a working Rochester, N.Y. knowledge of the anatomy of the joint and an appreciation for principles for reduction, stabilization, and early rehabilitation to provide the best outcomes possible. Injuries can include fractures of the head of the proximal phalanx, dislocations, fracture dislocations, and fractures of the base of the middle pha- lanx. Similar to other aspects of plastic surgery, there is little high-level evi- dence guiding treatment and thus most treatment is based on level III or IV evidence. The goal for treatment of any injury around the proximal interpha- langeal joint is to establish a congruent joint and allow for early motion. Stiff- ness and posttraumatic arthritis are common following these injuries. Salvage procedures are limited to arthrodesis and arthroplasty, neither of which can restore the normal function of the hand. (Plast. Reconstr. Surg. 132: 1192, 2013.) njuries to the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Plastic & Reconstructive Surgery Wolters Kluwer Health

Current Trends in the Management of Proximal Interphalangeal Joint Injuries of the Hand

Plastic & Reconstructive Surgery , Volume 132 (5) – Nov 1, 2013

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References (39)

Copyright
Copyright © 2013 by the American Society of Plastic Surgeons
ISSN
0032-1052
eISSN
1529-4242
DOI
10.1097/PRS.0b013e3182a48d65
pmid
24165600
Publisher site
See Article on Publisher Site

Abstract

HAND/PERIPHERAL NERVE Current Trends in the Management of Proximal Interphalangeal Joint Injuries of the Hand Joseph S. Khouri, M.D. Summary: Injuries to the proximal interphalangeal joint are commonly en- Jacob M. P. Bloom, M.D. countered by the hand surgeon. Proper diagnosis and treatment are vital Warren C. Hammert, M.D. for optimal outcomes. Proper treatment of these injuries requires a working Rochester, N.Y. knowledge of the anatomy of the joint and an appreciation for principles for reduction, stabilization, and early rehabilitation to provide the best outcomes possible. Injuries can include fractures of the head of the proximal phalanx, dislocations, fracture dislocations, and fractures of the base of the middle pha- lanx. Similar to other aspects of plastic surgery, there is little high-level evi- dence guiding treatment and thus most treatment is based on level III or IV evidence. The goal for treatment of any injury around the proximal interpha- langeal joint is to establish a congruent joint and allow for early motion. Stiff- ness and posttraumatic arthritis are common following these injuries. Salvage procedures are limited to arthrodesis and arthroplasty, neither of which can restore the normal function of the hand. (Plast. Reconstr. Surg. 132: 1192, 2013.) njuries to the

Journal

Plastic & Reconstructive SurgeryWolters Kluwer Health

Published: Nov 1, 2013

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