Lateral band release for post-traumatic extension contracture of the proximal interphalangeal joint

1991 ◽  
Vol 110 (6) ◽  
pp. 298-300 ◽  
Author(s):  
G. Inoue
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Lateral Band ◽  
Post Traumatic

POST-TRAUMATIC TRAPPED DISLOCATIONS OF THE PROXIMAL INTERPHALANGEAL JOINT

1976 ◽  
Vol 16 (6) ◽  
pp. 481-487 ◽  
Author(s):  
EUGENE S. KILGORE ◽  
WILLIAM L. NEWMEYER ◽  
LIONEL G. BROWN
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Post Traumatic

A Conservative Approach for Proximal Interphalangeal Joint Arthroplasty

2001 ◽  
Vol 26 (3) ◽  
pp. 235-237 ◽  
Author(s):  
N. R. FAHMY ◽  
A. LAVENDER ◽  
C. BREW
Keyword(s):  
Proximal Phalanx ◽  
Proximal Interphalangeal Joint ◽  
Joint Arthroplasty ◽  
Interphalangeal Joint ◽  
Extensor Mechanism ◽  
Conservative Approach ◽  
Lateral Band ◽  
Pip Joint ◽  
Central Slip

Access to the proximal interphalangeal joint of the finger for arthroplasty is difficult without detaching its stabilizers or dividing the tendons that cross it, which then require repair and slow rehabilitation. We describe a method that conserves both, so facilitating post-operative rehabilitation. A C-shaped incision is made on the dorsum of the finger. The lateral bands of the extensor expansion are separated from the central slip proximally to the extensor hood. They are then retracted to expose the condyles of the proximal phalanx, which are excised. The PIP joint is then dislocated between the central slip and a lateral band allowing the remainder of the head to be excised. The middle and proximal phalanges are then prepared to accept the prosthesis. The prosthesis is then inserted and the joint is reduced. The lateral bands of the extensor mechanism are sutured back to the central slip before the skin is closed.

TWO TO FIVE YEAR FOLLOW-UP OF THE LPM CERAMIC COATED PROXIMAL INTERPHALANGEAL JOINT ARTHROPLASTY

2008 ◽  
Vol 33 (1) ◽  
pp. 38-44 ◽  
Author(s):  
J. FIELD
Keyword(s):  
Clinical Signs ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Pip Joint ◽  
Joint Implants ◽  
Post Traumatic ◽  
Joint Arthroplasties ◽  
Traumatic Arthritis

This paper presents a retrospective series of 20 LPM semi-constrained ceramic coated cobalt chrome proximal interphalangeal joint arthroplasties performed consecutively in 12 patients for arthritis of the proximal interphalangeal joint by a single surgeon between 2000 and 2004. Eleven were performed for osteoarthritis, four for post-traumatic arthritis and five for rheumatoid arthritis. Although 12 joints had an improvement in pain and an increased functional arc of movement, six joints required revision surgery for implant failure at an average of 19 months, with clinical signs of increasing pain, deteriorating motion and radiological signs of implant loosening and subsidence. This rate of revision is higher than in published series for other PIP joint implants and, therefore, close surveillance of all patients with this prosthesis currently in situ is recommended. Use of the prosthesis has ceased in this unit.

TREATMENT OF CHRONIC POST-TRAUMATIC HYPEREXTENSION DEFORMITY OF PROXIMAL INTERPHALANGEAL JOINT USING THE SUTURE ANCHOR: A CASE REPORT

Hand Surgery ◽  
2007 ◽  
Vol 12 (01) ◽  
pp. 47-49 ◽  
Author(s):  
Yasuo Onishi ◽  
Hiroyuki Fujioka ◽  
Minoru Doita
Keyword(s):  
Suture Anchor ◽  
Proximal Phalanx ◽  
Attachment Site ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Suture Anchors ◽  
Acceptable Result ◽  
Pip Joint ◽  
Post Traumatic ◽  
Little Finger

We present a case of chronic post-traumatic hyperextension of the PIP joint of the little finger. The volar plate was reattached at the original attachment site of the proximal phalanx using two suture anchors and tenodesis of the radial half slip of the FDS tendon was added. An acceptable result was obtained.

scholarly journals Double Lateral Band Transfer for Treatment of Traumatic Hyperextension Instability of the Proximal Interphalangeal Joint: A Report of Two Cases

Hand ◽  
2011 ◽  
Vol 7 (1) ◽  
pp. 108-113 ◽  
Author(s):  
Jason H. Ko ◽  
David M. Kalainov ◽  
Lawrence P. Hsu ◽  
Robert C. Fang ◽  
Robert D. Mastey
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Lateral Band

scholarly journals Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniques

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Daniele Caviglia ◽  
Gianluca Ciolli ◽  
Camillo Fulchignoni ◽  
Lorenzo Rocchi
Keyword(s):  
Surgical Techniques ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Suture Technique ◽  
Interphalangeal Joint ◽  
Volar Plate ◽  
Post Traumatic ◽  
Object Of Study ◽  
Surgical Treatments ◽  
Phalangeal Fractures

Avulsions of the volar plate of the finger proximal interphalangeal joint (PIPJ) following sprains are often undiagnosed in the acute setting. Therefore, the chronic outcomes of this injury are most frequently the object of study and treatment. Different techniques for volar plate chronic avulsion repair are described in the literature. The most used among these are mainly two: the direct suturing with or without the use of bone anchors and the tenodesis techniques with flexor digitalis superficialis (FDS). The aim of this systematic review is to determine outcomes and complications associated with these surgical treatments of post-traumatic volar plate avulsions without phalangeal fractures. An electronic literature research was carried out and pertinent articles were selected. Surgical techniques details, outcomes and complications for direct sutures and tenodesis technique are discussed. Outcomes (Range of motion and pain) seem to be comparable, whereas authors that use the direct suture technique describe more frequently PIPJ flexion contracture complication. From this review of the literature, authors believe that both techniques are available for the repair of chronic injuries of the volar plate of the PIPJ, although direct suturing can be considered as less reproducible.

The Pathogenesis of the Rheumatoid Swan Neck Deformity

HAND ◽  
1979 ◽  
Vol os-11 (2) ◽  
pp. 176-183 ◽  
Author(s):  
A. W. B. Heywood
Keyword(s):  
Rheumatoid Arthritis ◽  
Late Results ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Muscle Contracture ◽  
Lateral Band ◽  
Extensor Tendons ◽  
Intrinsic Muscle ◽  
Swan Neck Deformity

Disappointment with the late results of intrinsic release for the rheumatoid “intrinsic-plus” hand has led to a re-appraisal of the role of intrinsic muscle contracture in the pathogenesis of the rheumatoid swan neck deformity. In cadaveric fingers, a properly placed suture tying the lateral band to the middle slip insertion causes a swan neck deformity. It is suggested that the usual “intrinsic-plus” hand and the fixed swan neck deformity of rheumatoid arthritis is caused by adhesions between the extensor tendons on the dorsum of the proximal interphalangeal joint, rather than by intrinsic muscle contracture and/or metacarpo-phalangeal dislocation.

Pyrocarbon proximal interphalangeal joint arthroplasty: a medium to long term follow-up of a single surgeon series

2015 ◽  
Vol 40 (9) ◽  
pp. 952-956 ◽  
Author(s):  
P. A. Storey ◽  
M. Goddard ◽  
C. Clegg ◽  
M. E. Birks ◽  
S. H. Bostock
Keyword(s):  
Case Series ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Level Of Evidence ◽  
Visual Analogue Pain ◽  
Kaplan Meier ◽  
Long Term Follow Up ◽  
Post Traumatic ◽  
Joint Arthroplasties

We retrospectively reviewed a consecutive single surgeon series of 57 Ascension pyrocarbon proximal interphalangeal joint arthroplasties, with a mean follow-up of 7.1 years (range 2 years to 11 years 6 months). We assessed the ranges of motion, deformity, stability and pain of the operated joints, grip strength of the hand and patient satisfaction. Of the cases, 44 were for osteoarthritis, five for rheumatoid arthritis and eight for post-traumatic arthritis. The median post-operative active arc of motion was from 0° to 60°. The median post-operative visual analogue pain score was 0.3 out of ten. Thirty six of the joints had no complications; 14 had minor complications (squeak, slight swan neck); three required early reoperation (joint release, flexor tenodesis); and five required implant removal. A total of 69% of our patients would have the same operation if they had to make the decision again. The Kaplan-Meier survival method estimates the mean implant survival to be 10.7 years (95% confidence intervals 9.96–11.37 years). All five failures occurred during the first 2 years. Level of evidence 4 (Case-series).

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