Management of proximal interphalangeal joint injuries.

Abstract:

:Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mechanism of injury allows for classification so that a treatment protocol can be formulated for each injury pattern. Emphasis on careful consideration of the implications of open reduction, rational splinting, and early, active, protected motion provides for the most favorable outcome.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Freiberg A,Pollard BA,Macdonald MR,Duncan MJ

doi

10.1016/j.hcl.2006.05.003

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

235-42

issue

3

eissn

0749-0712

issn

1558-1969

pii

S0749-0712(06)00053-9

journal_volume

22

pub_type

杂志文章,评审
  • Microsurgical Reconstruction of the Burned Hand and Upper Extremity.

    abstract::Improvements in critical care and burn victim resuscitation have led to increased survival of burned patients. Initial resuscitation, early excision of burned tissues, prevention of burn wound sepsis, and wound coverage remain mainstays of care. Many burn wounds require complex reconstruction. This is particularly imp...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.12.007

    authors: De la Garza M,Sauerbier M,Günter G,Cetrulo CL Jr,Bueno RA Jr,Russell RC,Neumeister MW

    更新日期:2017-05-01 00:00:00

  • Evidence-Based Hand Therapy and Its Impact on Health Care Policy.

    abstract::The unique and collaborative relationship between hand therapists and surgeons is invaluable in meeting the unique functional needs of clients with upper extremity conditions and injuries. Current legislative issues and research items that directly affect hand therapy and hand surgery practice include the opioid epide...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2020.01.005

    authors: Khan-Farooqi L,Pathare E

    更新日期:2020-05-01 00:00:00

  • Diagnosis and clinical findings of Kienböck's disease.

    abstract::The clinical presentation and history of patients with Kienböck's disease do not permit differentiating avascular necrosis of the lunate from vague wrist pathology of a variety of causes. Diagnosis and evaluation of this disorder therefore require appropriate imaging studies. Plain-film radiography, tomography, and bo...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Szabo RM,Greenspan A

    更新日期:1993-08-01 00:00:00

  • Acute Management of Hand Burns.

    abstract::The hand is extremely susceptible to burn injuries, and hand burns can occur in up to 90% of all major burns. A thorough neurovascular examination of the hand should be performed in the acute setting. Escharotomies are required in patients with full-thickness or circumferential burns, when perfusion of the upper extre...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.12.001

    authors: Soni A,Pham TN,Ko JH

    更新日期:2017-05-01 00:00:00

  • Radiographic imaging of foreign bodies in the hand.

    abstract::Injuries involving foreign bodies in the hand are common. Index of suspicion should be high in any hand injury, particularly with a proper history. Plain radiographs should be obtained liberally and multiple views always taken. Xeroradiography, if available, is helpful if the plain radiographs are normal and a foreign...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Donaldson JS

    更新日期:1991-02-01 00:00:00

  • Management of complications of congenital hand disorders.

    abstract::This article reviews treatment and presents complications seen in the treatment of 7 common congenital hand differences, including syndactyly, camptodactyly, ulnar and radial polydactyly, thumb hypoplasia, radial longitudinal deficiency, and epidermolysis bullosa. The management of these conditions is challenging but ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2015.01.011

    authors: Comer GC,Ladd AL

    更新日期:2015-05-01 00:00:00

  • Anatomy and function of lumbrical muscles.

    abstract::The lumbrical muscles are unique in having their origin and insertion on tendons. The lumbricals assist in metacarpophalangeal joint flexion; they contribute to interphalangeal joint extension by acting as deflexors of the proximal interphalangeal joint. Anatomically, they are highly specialized in terms of their arch...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2011.09.002

    authors: Palti R,Vigler M

    更新日期:2012-02-01 00:00:00

  • Malunions of the finger metacarpals and phalanges.

    abstract::Many malunions of the finger metacarpals are mild and do not require or justify operative intervention. Early recreation of the fracture or osteotomy is more likely to be rewarded with favorable results than late operation. Rotational malunions of the metacarpals or proximal phalanges may be treated by transverse extr...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2006.03.001

    authors: Freeland AE,Lindley SG

    更新日期:2006-08-01 00:00:00

  • Rheumatoid arthritis: silicone metacarpophalangeal joint arthroplasty indications, technique, and outcomes.

    abstract::Silicone implant arthroplasty has been used for more than 40 years for severe rheumatoid disease at the metacarpophalangeal (MCP) joint. Multiple investigations have shown that silicone arthroplasty places the MCP joint in a more extended posture, with some improvement in the total arc of motion. Ulnar drift is also i...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2006.02.001

    authors: Goldfarb CA,Dovan TT

    更新日期:2006-05-01 00:00:00

  • Electrical and ultrasound stimulation for scaphoid fractures.

    abstract::The standard treatment for delayed union or nonunion of the scaphoid is operative management. Electrical stimulation has been employed in these clinical situations in patients unable or unwilling to undergo surgical intervention. Recent interest has also focused on the use of low-intensity ultrasound as an adjunct to ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Divelbiss BJ,Adams BD

    更新日期:2001-11-01 00:00:00

  • Pediatric humeral condyle fractures.

    abstract::Condylar and epicondylar fractures differ from other pediatric upper extremity fractures because of the anatomy and ossification of the distal humerus. These fractures are prone to nonunion,and initial deformities do not remodel well. Radiographic diagnosis and severity are difficult to determine, and adjunct studies,...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2005.09.003

    authors: Gogola GR

    更新日期:2006-02-01 00:00:00

  • Compartment syndrome of the hand and wrist.

    abstract::High clinical suspicion is of paramount importance in evaluating the hand or wrist for an evolving compartment syndrome. A detailed history coupled with a thorough physical examination form the basis for the diagnosis. The use of techniques to measure compartment pressures forms the objective foundation to assist in f...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Ortiz JA Jr,Berger RA

    更新日期:1998-08-01 00:00:00

  • Complications of the management of carpal tunnel syndrome.

    abstract::The recognition and frequency of treatment of carpal tunnel syndrome has increased over the past several years. As a result, more complications of treatment are being seen. These can be minimized by accurate diagnosis, proper selection of treatment, and careful technical application of the treatment chosen. ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Kessler FB

    更新日期:1986-05-01 00:00:00

  • Operative treatment of cerebral palsy.

    abstract::Although the overall patterns of deformity may be repetitive in cerebral palsy patients, it is extremely important to recognize that nothing replaces a careful examination of the individual patient and an individualized plan of approach. Our mistakes are rarely caused by technical errors, and we should not attribute o...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Szabo RM,Gelberman RH

    更新日期:1985-08-01 00:00:00

  • Elbow Dislocations in Contact Sports.

    abstract::Elbow dislocations are more common in athletes than in the general population. Simple elbow dislocations should be managed with early range of motion and early return to sport, even with high-level contact athletes. Patients with instability on examination or with complex elbow dislocations may require surgical interv...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.08.003

    authors: Morris MS,Ozer K

    更新日期:2017-02-01 00:00:00

  • Atypical peripheral neuropathies.

    abstract::Systemic disease and metabolic imbalance may be associated with peripheral nerve focal compressive neuropathies. The nerve may be primarily involved, or symptoms may result from chronic tenosynovitis or synovitis. We review the more commonly occurring compressive neuropathies associated with underlying systemic disord...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dell PC,Guzewicz RM

    更新日期:1992-05-01 00:00:00

  • Nerve Transfers in Birth Related Brachial Plexus Injuries: Where Do We Stand?

    abstract::This article reviews the assessment and management of obstetrical brachial plexus palsy. The potential role of distal nerve transfers in the treatment of infants with Erb's palsy is discussed. Current evidence for motor outcomes after traditional reconstruction via interpositional nerve grafting and extraplexal nerve ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2015.12.006

    authors: Davidge KM,Clarke HM,Borschel GH

    更新日期:2016-05-01 00:00:00

  • Ligamentous injuries to the wrist. Imaging techniques.

    abstract::The variety of imaging techniques available to the clinician facilitates the diagnosis of acute and chronic wrist disorders. In most cases, conventional radiographs provide sufficient information. Computed and trispiral tomography, arthrography, video-fluoroscopy, and magnetic resonance imaging are additional imaging ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Beltran J,Shankman S,Schoenberg NY

    更新日期:1992-11-01 00:00:00

  • Skin Coverage Considerations in a Mutilating Hand Injury.

    abstract::The foremost goal of managing a mutilated hand is provision of adequate skin coverage. The most suitable method is free tissue transfer. The specific role of volar surface requires replacement tissue to have similar texture for aesthetically satisfactory and functionally acceptable outcomes. Hand surgeons must approac...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.07.002

    authors: Lee K,Roh S,Lee D,Kim J

    更新日期:2016-11-01 00:00:00

  • Management of purpura fulminans at the upper extremity.

    abstract::A multidisciplinary approach often is needed, especially at the acute phase. Indeed, resuscitative treatment is first indicated. [figure: see text] Optimal time for surgery depends on the patient's status. Surgical management should be more aggressive than previously thought. Debridement of necrotic tissue must be per...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Masquelet AC,Romãna MC,Gilbert A,Berard J

    更新日期:2000-11-01 00:00:00

  • Pediatric mutilating hand injuries.

    abstract::Mutilating hand injuries in children are a devastating problem. With aggressive efforts at replantation and revascularization, methodic debridement, timely soft tissue coverage, and early mobilization, however, the results in these unfortunate children can be quite rewarding. The child often does well with the functio...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0712(02)00076-8

    authors: Buncke GM,Buntic RF,Romeo O

    更新日期:2003-02-01 00:00:00

  • Rehabilitation of the painful upper extremity.

    abstract::Therapy for the painful upper extremity is a challenge. This article focuses on various assessment tools and techniques that are reflective of the painful status. The author reviews several research articles that discuss validating treatment options and outlines rehabilitation for the painful upper extremity as it rel...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Haines BL

    更新日期:1996-11-01 00:00:00

  • The gradual correction of forearm deformities in multiple hereditary exostoses.

    abstract::Careful preoperative planning, fixator selection and design, surgical technique, and sustained follow-up care are essential for successful gradual correction of pediatric forearm deformities. The sequence of planning gradual deformity correction can be created by establishing a problem list and using this as the basis...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Dahl MT

    更新日期:1993-11-01 00:00:00

  • Exposures of the elbow.

    abstract::This article describes the basic bony, ligamentous, and neurologic anatomy of the structures about the elbow. The surgical exposures of the elbow joint are described, providing details of the various posterior, lateral, and medial approaches to the articular segments. Clinical applications describing the potential ben...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2014.08.001

    authors: Axelrod TS

    更新日期:2014-11-01 00:00:00

  • Arthroscopic knotless peripheral ulnar-sided TFCC repair.

    abstract::Peripheral ulnar-sided tears of the triangular fibrocartilage complex (TFCC) are common injuries and are amenable to arthroscopic repair. This article describes an all-arthroscopic knotless technique for TFCC repair. This technique has the advantage of being all arthroscopic using 3 portals, has the ability to repair ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2011.05.008

    authors: Geissler WB

    更新日期:2011-08-01 00:00:00

  • Physical examination of the wrist.

    abstract::A complete examination of the wrist requires both an accurate history and a thorough understanding of carpal anatomy, biomechanics, and pathology. A thorough examination may necessitate evaluation of the radial and ulnar aspects of the carpus as well as potential extra-articular causes of wrist pain. A carefully obtai...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Watson HK,Weinzweig J

    更新日期:1997-02-01 00:00:00

  • Management of Monteggia Injuries in the Adult.

    abstract::Monteggia fracture-dislocation of the elbow is a fracture of the proximal ulna with associated dislocation of the radial head or radial neck fracture. In adults, this injury is managed with open reduction and internal fixation of the ulna fracture. Care should be taken to ensure anatomic reduction of the proximal ulna...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2020.07.002

    authors: Patel M,Dehghan N

    更新日期:2020-11-01 00:00:00

  • Digital replantations including fingertip and ring avulsion.

    abstract::To reduce ischemic time and yet achieve a high-quality repair, the replantation team should be well organized. The team should be conversant with microvascular techniques and employ efficient methods of tendon repair and bone fixation. Developments in instrumentation and technique in recent years have improved success...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Lim BH,Tan BK,Peng YP

    更新日期:2001-08-01 00:00:00

  • Z-plasties and related procedures for the hand and upper limb.

    abstract::The Z-plasty is a useful procedure in surgery of the upper limb for lengthening skin along a selected axis, for breaking up a straight line, and for obliterating webs. At least six geometric variables are considered in designing a conventional Z-plasty, and several modified designs must be considered. Geometrical mode...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Furnas DW

    更新日期:1985-11-01 00:00:00

  • Flexor tenolysis.

    abstract::Flexor tenolysis is a challenging procedure with valuable clinical usefulness in the restitution and enhancement of digital function in the appropriate patient. In the absence of complications, improvement in digital flexion can be expected. The requisites for success are a skilled surgeon, a motivated and well inform...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2004.11.008

    authors: Azari KK,Meals RA

    更新日期:2005-05-01 00:00:00