Fracture-Dislocation About the Finger Joints

R. P. Calfee, T. G. Sommerkamp

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

Fracture-dislocations in the small joints of the fingers are challenging injuries. The surgeon must choose an appropriate treatment based on fracture pattern, joint stability, and injury chronicity. Fracture-dislocations of the proximal interphalangeal joint are notoriously unforgiving, with potential long-term sequelae of residual pain and stiffness. Similar injuries in the distal interphalangeal joint are more tolerant of fracture displacement and even joint subluxation. Dorsal dislocations of the metacarpophalangeal joint may be associated with shearing fractures of the metacarpal head but are most notable for the volar plate interposition that may block closed reduction.

Original languageEnglish
Pages (from-to)1140-1147
Number of pages8
JournalJournal of Hand Surgery
Volume34
Issue number6
DOIs
StatePublished - Jul 1 2009

Keywords

  • Dislocation
  • fracture
  • interphalangeal
  • metacarpophalangeal
  • phalanx

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