scholarly journals Long-term radiographic and MRI follow-up of the distal interphalangeal joint after arthroscopic removal of large extensor process fragments

2015 ◽  
Vol 31 (4) ◽  
pp. 346-351
Author(s):  
N de Heer ◽  
E Compagnie ◽  
F ter Braake
Keyword(s):  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Arthroscopic Removal ◽  
Distal Interphalangeal ◽  
Process Fragments

Long-Term Results of Digital Arthrodesis with the Harrison–Nicolle Peg

2001 ◽  
Vol 26 (6) ◽  
pp. 568-571 ◽  
Author(s):  
W. SABBAGH ◽  
A. O. GROBBELAAR ◽  
C. CLARKE ◽  
P. J. SMITH ◽  
D. H. HARRISON
Keyword(s):  
Complication Rate ◽  
Interphalangeal Joint ◽  
Long Term Results ◽  
Distal Interphalangeal Joint ◽  
Rheumatoid Patient ◽  
Clinical Difference ◽  
Long Term Follow Up ◽  
Distal Interphalangeal

This study determined the long-term success of digital arthrodesis with the Harrison–Nicolle peg. We reviewed 90 digital joints in 60 patients fused with the peg between 1986 and 1998 at a mean follow-up of 6 (range 2–11) years. The prime indication for surgery was rheumatoid arthritis. The early complication rate was 8%. At 1 month 89% of joints were pain-free and stable. In the long-term follow up, 96% of the joints were pain-free and stable, with the original angle of fusion. 85% achieved bony fusion, with no clinical difference between bony and fibrous fusion. Overall there was a significantly higher complication rate in the distal interphalangeal joint. We conclude that, with the exception of the distal interphalangeal joint, the Harrison–Nicolle peg is extremely effective for digital arthrodesis in the rheumatoid patient.

Volar plating versus external fixation for unstable dorsal fracture-dislocations of the proximal interphalangeal joint

2021 ◽  
pp. 175319342110593
Author(s):  
Atsuhiko Murayama ◽  
Kentaro Watanabe ◽  
Hideyuki Ota ◽  
Shigeru Kurimoto ◽  
Hitoshi Hirata
Keyword(s):  
External Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plating ◽  
Distal Interphalangeal Joint ◽  
Active Flexion ◽  
Plate Group ◽  
Fracture Dislocations ◽  
Distal Interphalangeal

We retrospectively compared the results of volar plating and dynamic external fixation for acute unstable dorsal fracture-dislocations of the proximal interphalangeal joint with a depressed fragment. We treated 31 patients (31 fingers), 12 with volar buttress plating and 19 with dynamic external fixation. Follow-up averaged 35 and 40 months in the two groups, with a minimal 6-month follow-up. Average active flexion of the proximal interphalangeal joint was 95° after plate fixation and 87° after external fixation, with an active extension lag of –6° and –9°, respectively. Active flexion at the distal interphalangeal joint averaged 67° in the plate group and 58° in the external fixation group, with active extension lags of 0° and –5°, respectively. We conclude that both methods can obtain a good range of motion at the proximal interphalangeal joint. A limitation of the extension of the distal interphalangeal joint occurred with dynamic external fixation but not with volar buttress plating. Level of evidence: IV

External Fixation for Surgical Treatment of a Mallet Finger

2003 ◽  
Vol 28 (3) ◽  
pp. 228-230 ◽  
Author(s):  
T. KALELI ◽  
C. OZTURK ◽  
S. ERSOZLU
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Interphalangeal Joint ◽  
Mallet Finger ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
The Mean ◽  
Extensor Lag ◽  
New Surgical Technique

A new surgical technique is described for the treatment of mallet finger deformity which involves the application of a mini external fixator across the distal interphalangeal joint and resection of a portion of the extensor mechanism. We reviewed 19 patients who were treated with this technique, at a mean follow-up period of 36 (range, 24–48) months. The mean extensor lag was 2° (range, −7° to 13°) and the mean flexion range was 70° (range, 20°–90°).

scholarly journals Broken Kirschner Wire in Distal Interphalangeal Joint Fixation: A Case Report

2021 ◽  
Vol 26 (3) ◽  
pp. 171-173
Author(s):  
Kyung Jin Lee ◽  
Jung Hyun Park ◽  
Sung Hoon Koh ◽  
Dong Chul Lee ◽  
Si Young Roh ◽  
...  
Keyword(s):  
Kirschner Wire ◽  
Extensor Tendon ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Distal Interphalangeal Joint ◽  
Protective Measures ◽  
X Ray ◽  
Distal Interphalangeal ◽  
Continued Use

Kirschner wire (K-wire) has been widely used for treatment of fracture for its cost-effectiveness and reliability. This case presents the K-wire breakage in distal interphalangeal joint (DIPJ) fixation. A 55-year-old male patient was injured by a knife and showed rupture of extensor tendon at 1/2 of middle phalanx. A 0.9-mm K-wire was implemented for DIPJ extension, and tenorrhaphy was done. After 6 weeks, we detected breakage of K-wire in the follow-up X-ray. The broken K-wire in the distal phalanx was removed. We removed the remaining K-wire through an incision on volar side of middle phalanx under C-arm after 2 weeks for the patient’s personal reasons. Breakage during postoperative K-wire maintenance is exceedingly rare. This patient is presumed to have ruptured because he continued using his finger. Therefore, while K-wire is present, continued use of finger without protection may cause breakage, so protective measures such as splint are required.

Long-term Stack splint immobilization for closed tendinous Mallet Finger

2020 ◽  
Vol 52 (03) ◽  
pp. 170-175
Author(s):  
In Tae Hong ◽  
Eugene Baek ◽  
Cheungsoo Ha ◽  
Soo-Hong Han
Keyword(s):  
Treatment Protocol ◽  
Interphalangeal Joint ◽  
Flexion Angle ◽  
Full Time ◽  
Mallet Finger ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
The Mean ◽  
Crawford Classification

Abstract Background Closed tendinous mallet finger can be treated non-operatively by extension splinting of the distal interphalangeal joint (DIPJ) for 6 to 8 weeks. However, method of conservative treatment in detail differs among various reports, especially in type of orthosis, duration of full-time immobilization and additional night orthotic wear after full-time immobilization. In our institution, full-time Stack splint is applied with distal interphalangeal joint (DIPJ) in extension for 12 weeks and night orthosis is worn for 4 weeks. Purpose The purpose of this study was to evaluate clinical and functional outcomes of tendinous mallet finger using our treatment protocol. Patients and Methods Between March 2007 and December 2017, patients with tendinous mallet finger who were managed conservatively according to our treatment protocol were retrospectively reviewed. A total of 100 patients (101 cases) were enrolled, including 77 males and 23 females. Extension lag was measured before, soon after treatment, and at the final follow-up. Flexion angle of DIP joint was measured at the final follow-up. Patients were clinically evaluated based on the Crawford classification scale and Abouna & Brown criteria. Results The mean age of patients was 40 years and the mean follow-up was 48 months. The mean extension lag was 28.3 degrees initially and 2.6 degrees at the final follow-up. (p-value < 0.001) Flexion angle at the final follow-up was 68.3 degrees. Based on the Crawford classification scale, 56 % of patients had excellent results, and 25 % of patients had good results. According to Abouna & Brown criteria, 78 % of patients had success results and 7.5 % of patients had improved results. Conclusions Wearing orthosis for up to 16 weeks (12 weeks full time and 4 weeks night orthosis) in the treatment of tendinous mallet finger injuries can achieve satisfying result.

Arthrodesis of the distal interphalangeal joint: description of a new technique and clinical follow-up at 2 years

2007 ◽  
Vol 128 (3) ◽  
pp. 307-311 ◽  
Author(s):  
L. C. Olivier ◽  
F. Gensigk ◽  
T. N. Board ◽  
D. Kendoff ◽  
U. Krehmeier ◽  
...  
Keyword(s):  
Interphalangeal Joint ◽  
New Technique ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal ◽  
A New Technique

Splinting versus extension-block pinning of bony mallet finger: a randomized clinical trial

2020 ◽  
Vol 45 (6) ◽  
pp. 574-581 ◽  
Author(s):  
Janni K. Thillemann ◽  
Theis M. Thillemann ◽  
Pia K. Kristensen ◽  
Anders D. Foldager-Jensen ◽  
Bo Munk
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Interphalangeal Joint ◽  
Joint Surface ◽  
Distal Interphalangeal Joint ◽  
Level Of Evidence ◽  
Pain Scores ◽  
Patient Reported ◽  
Distal Interphalangeal

Surgical treatment of bony mallet fingers is frequently recommended, but the evidence is sparse. This randomized clinical trial aimed to compare nonoperative splinting versus extension-block pinning of bony mallet fingers with involvement of more than one-third of the joint surface but without primary joint subluxation. Thirty-two patients were randomized and 28 fulfilled the protocol. At 6 months follow-up, there were no significant differences in active extension lag in the distal interphalangeal joint (the primary outcome) or in patient-reported function and pain scores. Flexion and active range of motion in the distal interphalangeal joint and finger-to-palm distance were better in the splinting group, but three patients developed secondary subluxation. We conclude from this study, that splinting these injuries is safe and efficient in restoring joint motion, but splinting does not sufficiently prevent secondary subluxation of the joint. Radiographic follow-up during splinting appears to be necessary. Level of evidence: I

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