Locking of the Proximal Interphalangeal Joint of the Little Finger

2001 ◽  
Vol 26 (4) ◽  
pp. 389-390 ◽  
Author(s):  
C. H. COSTELLO ◽  
D. G. K. LAM ◽  
H. P. GIELE
Keyword(s):  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Metacarpophalangeal Joints ◽  
Little Finger

Locking of the metacarpophalangeal joints is well documented, but locking of other joints in the finger has not been described. We present a case of locking of the little finger proximal interphalangeal joint due to an osteophyte impinging on the extensor tendon.

Radial Collateral Ligament Injury of the Little Finger Proximal Interphalangeal Joint in Young Pianists

2014 ◽  
Vol 39 (8) ◽  
pp. 1535-1539 ◽  
Author(s):  
Hyun Sik Gong ◽  
Hoyune Esther Cho ◽  
Seung Hwan Rhee ◽  
Jihyeong Kim ◽  
Young Ho Lee ◽  
...  
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Ligament Injury ◽  
Collateral Ligament ◽  
Radial Collateral Ligament ◽  
Little Finger

Immediate Free Vascularized Joint Transfer from Second Toe to Index Finger Proximal Interphalangeal Joint: A Case Report

1985 ◽  
Vol 10 (1) ◽  
pp. 85-89 ◽  
Author(s):  
T. M. TSAI ◽  
R. SINGER ◽  
E. ELLIOTT ◽  
H. KLEIN
Keyword(s):  
Index Finger ◽  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Severe Injuries ◽  
Immediate Reconstruction ◽  
Joint Reconstruction ◽  
Results Of Treatment ◽  
Second Toe

The results of treatment of severe injuries to the proximal interphalangeal joint are unsatisfactory. The methods of joint reconstruction are discussed, including fusion, implant arthroplasty, perichondrial grafting and vascularized joint transfer. A patient is presented with a severe crush injury to the dorsum of the index finger with loss of skin and extensor tendon and proximal interphalangeal joint disruption. Immediate reconstruction of the finger is described using a composite free flap of skin, extensor tendon and proximal interphalangeal joint from the second toe. Follow-up at two years is described, demonstrating proximal interphalangeal motion and finger function.

Radiographic Assessment of the Relative Lengths of the Bones of the Fingers of the Human Hand

2002 ◽  
Vol 27 (6) ◽  
pp. 546-548 ◽  
Author(s):  
R. HAMILTON ◽  
R. A. DUNSMUIR
Keyword(s):  
Fibonacci Sequence ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Human Hand ◽  
X Rays ◽  
Radiographic Assessment ◽  
Finger Tip ◽  
Distal Joint ◽  
Little Finger

The study assessed whether a relationship existed between the lengths of the phalanges of the fingers of the hand. The centres of rotation of the joints in each finger were determined by dissection of cadaveric hands. Using these data, the distances between the joint centres was determined on anteroposterior hand X-rays taken for clinical purposes. The study has shown that, for all the fingers, there is a ratio of1 for the distance between the metacarpophalangeal and proximal interphalangeal joint and the distance between the proximal interphalangeal joint and the finger tip. The ratio for the distances between the interphalangeal joints and the distal joint and the tip approximates to 1.3 for the index, middle and ring fingers and to 1.0 for the little finger. No evidence was found to support Littler’s hypothesis that the interarticular distances of the finger follow the Fibonacci sequence.

The extensor tendon splitting approach to the proximal interphalangeal joint: do we need to reinsert the central slip?

2009 ◽  
Vol 35 (3) ◽  
pp. 188-191 ◽  
Author(s):  
A. M. Afifi ◽  
A. Richards ◽  
A. Medoro ◽  
D. Mercer ◽  
M. Moneim
Keyword(s):  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Joint Arthroplasty ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Dorsal Approach ◽  
Pip Joint ◽  
Central Slip ◽  
Extensor Lag

Current approaches to the proximal interphalangeal (PIP) joint have potential complications and limitations. We present a dorsal approach that involves splitting the extensor tendon in the midline, detaching the insertion of the central slip and repairing the extensor tendon without reinserting the tendon into the base of the middle phalanx. A retrospective review of 16 digits that had the approach for a PIP joint arthroplasty with a mean follow up of 23 months found a postoperative PIP active ROM of 61° (range 25–90°). Fourteen digits had no extensor lag, while two digits had an extensor lag of 20° and 25°. This modified approach is fast and simple and does not cause an extensor lag.

NEGLECTED VOLAR DISLOCATIONS OF THE INTERPHALANGEAL JOINT

Hand Surgery ◽  
2004 ◽  
Vol 09 (01) ◽  
pp. 71-75 ◽  
Author(s):  
N. V. Deshmukh ◽  
S. V. Sonanis ◽  
J. Stothard
Keyword(s):  
Open Reduction ◽  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Tendon Entrapment ◽  
Prompt Diagnosis

Volar dislocations of the proximal interphalangeal joint, if missed, with extensor tendon entrapment will lead to permanent impairment. Prompt diagnosis followed by open reduction and aggressive rehabilitation is necessary.

Extensor Tendon Injuries at the Proximal Interphalangeal Joint

Hand Clinics ◽  
1988 ◽  
Vol 4 (1) ◽  
pp. 25-37
Author(s):  
John A. Froehlich ◽  
Edward Akelman ◽  
James H. Herndon
Keyword(s):  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Tendon Injuries ◽  
Interphalangeal Joint ◽  
Extensor Tendon Injuries

Outcome of primary tendon grafts for open Zone 3 extensor tendon injuries

2020 ◽  
Vol 45 (10) ◽  
pp. 1045-1050
Author(s):  
Jeff Ecker ◽  
Courtney Andrijich ◽  
Karolina Pavleski ◽  
Nicole Badur ◽  
Bruno E. Crepaldi
Keyword(s):  
Extensor Tendon ◽  
Tendon Graft ◽  
Proximal Interphalangeal Joint ◽  
Tendon Injuries ◽  
Interphalangeal Joint ◽  
Level Of Evidence ◽  
Wound Excision ◽  
Poor Outcomes ◽  
Open Injuries ◽  
Extensor Tendon Injuries

Open injuries of the extensor mechanism in Zone 3 (dorsum of the proximal interphalangeal joint) have poor outcomes. We retrospectively analysed the outcomes of treating 19 Zone 3 extensor tendon injuries in 17 patients. The treatment comprised wound excision and debridement, primary tendon graft to reconstruct the damaged/missing extensor tendon, skeletal fixation when required, local flaps to vascularize the zone of injury and immediate short arc motion therapy. Using the criteria defined by Geldmacher et al., the outcome was predicted to be poor in nine, satisfactory in seven and good in three cases. In this study the outcomes were excellent in 10, good in six and satisfactory in three cases. Mean range of motion was 75° (range 25°–115°) at the proximal interphalangeal joint. We conclude that using the protocol described there should no longer be the perception of a dismal outcome for these complex Zone 3 extensor tendon injuries. Level of evidence: IV

A Salvage Procedure in the Treatment of the Boutonnière Deformity Caused by Contact Burn and Friction Injury

HAND ◽  
1982 ◽  
Vol os-14 (1) ◽  
pp. 33-37 ◽  
Author(s):  
B. B. Joshi
Keyword(s):  
Primary Repair ◽  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Functional Restoration ◽  
Interphalangeal Joint ◽  
Salvage Procedure ◽  
Tendon Tissue ◽  
Boutonniere Deformity ◽  
Boutonnière Deformity ◽  
Composite Flap

Contact burns and friction injuries to the dorsum of the finger denude it of full thickness of skin and central extensor tendon tissue, rendering the primary repair of the resultant boutonnière deformity difficult. A salvage procedure that offers both functional restoration and cosmesis is described. Here the unaffected lateral band aattachments are transposed en-masse, as a composite flap, to the dorsum of the finger to establish active extension of the proximal interphalangeal joint.

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