Management of a proximal interphalangeal joint fracture dislocation with a compass proximal interphalangeal joint hinge and therapy: a case report.
The purpose of this report is to describe the management of a chronic proximal interphalangeal (PIP) joint fracture dislocation in a 46-year-old computer programmer. Twenty days following injury, a right ring finger volar plate arthroplasty was performed, loose fracture fragments were excised, and a...
| Publicado en: | Journal of Hand Therapy Vol. 15; no. 3; pp. 266 - 274 |
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| Autores principales: | , |
| Formato: | case study pictorial tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
2002 Jul-Sep
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106980615&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106980615 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08941130 4C0 jtl: Journal of Hand Therapy issn: 08941130 maglogo: N pubinfo: dt: 2002 Jul-Sep vid: 15 iid: 3 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 106980615 106980615 2002157955 NLM12206330 106980615 ppf: 266 ppct: 8 formats: tig: atl: Management of a proximal interphalangeal joint fracture dislocation with a compass proximal interphalangeal joint hinge and therapy: a case report. aug: au: Feldscher SB Blank JE affil: Hand Specialist, Hamilton Physical Therapy Services, The Philadelphia Hand Center, Southern, New Jersey sug: subj: Fractures Therapy Dislocations Therapy Finger Injuries Therapy Splints Utilization Middle Age Male Arthroplasty Orthopedic Fixation Devices Treatment Outcomes Range of Motion Middle Aged: 45-64 years Male ab: The purpose of this report is to describe the management of a chronic proximal interphalangeal (PIP) joint fracture dislocation in a 46-year-old computer programmer. Twenty days following injury, a right ring finger volar plate arthroplasty was performed, loose fracture fragments were excised, and a Compass PIP joint hinge was applied. The hinge was locked at 10 degrees to 15 degrees extension and held in this position for 8 days. On postoperative day 8, hand therapy was initiated. Many challenges were encountered. Insurance constraints required the patient to change therapists. The device frame cracked. The patient developed a PIP joint contracture with extensor lag. Despite these obstacles, the patient achieved a successful outcome, returning to normal pain-free use with grip strength at 87% of that of the uninvolved hand. At discharge, active range of motion was 12 degrees/100 degrees at the PIP joint and 0 degrees/40 degrees at the DIP joint. Passive extension was 0 degrees. At 6 months postoperatively, active range of motion was 0 degrees/105 degrees at the PIP joint and 0 degrees/60 degrees at the DIP joint. This case demonstrates the need for closely supervised postoperative therapy that includes good communication between providers, ongoing patient education, and close monitoring of range of motion. pubtype: Academic Journal doctype: case study pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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