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Displaced Fracture of Head of 4th Proximal Phalanx with Posterior Subluxation of PIP Joint and Disruption of Volar Plate: Eaton Grade 3: A Rare Case Report

Rajendra B. Uppin, Somanath T. Sanikop, Gangadhar B. Bhuti, Parth R. Patel

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Journal of Orthopedic Education 9(3):p 167-170, September-December 2023. | DOI: https://doi.org/10.21088/joe.2454.7956.9323.2

How Cite This Article:

Rajendra B. Uppin, Somanath T. Sanikop, Gangadhar B. Bhuti, et al. Displaced Fracture of Head of 4th Proximal Phalanx with Posterior Subluxation of PIP Joint and Disruption of Volar Plate: Eaton Grade 3: A Rare Case Report. J Orth. Edu. 2023;9(3):167–170.

Timeline

Received : April 28, 2023         Accepted : May 31, 2023          Published : December 25, 2023

Abstract

Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. Unstable intra-articular proximal interphalangeal (PIP) joint fracture dislocations present a difficult problem that requires congruous joint reduction and stable internal fixation or distraction. Though fractures with limited articular involvement may be treated successfully with less invasive procedures, fracture dislocations with a volar shear component may benefit from joint reduction with subchondral support for maintenance of stability. The purpose of this article is to describe a volar screw technique and report the short term post-operative results. This treatment allows early active range of motion and provides good objective and subjective outcomes.


References

  • 1.   Merrel G, Slade JF. Dislocations and ligament injuries in the digits. In: Wolfe S, editor. Green’s Operative Hand Surgery. 6th ed. Philadelphia: Elsevier; 2011. pp. 291–7.
  • 2.   Rettig AC. Athletic injuries of the hand, Part II: overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med. 2004;32(1):262–73.
  • 3.   Eaton RG, Malerich MM. Volar plate arthroplasty of the proximal interphalangeal joint: a review of ten years’ experience. J Hand Surg Am. 1980; 5(3):260–8.
  • 4.   Kiefhaber TR, Stern PJ. Fracture dislocations of the proximal interphalangeal joint. J Hand Surg Am. 1998;23(3):368–80.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

Rajendra B. Uppin, Somanath T. Sanikop, Gangadhar B. Bhuti, et al. Displaced Fracture of Head of 4th Proximal Phalanx with Posterior Subluxation of PIP Joint and Disruption of Volar Plate: Eaton Grade 3: A Rare Case Report. J Orth. Edu. 2023;9(3):167–170.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
April 28, 2023 May 31, 2023 December 25, 2023

DOI: https://doi.org/10.21088/joe.2454.7956.9323.2

Keywords

Fracture dislocation of PIP jointShotgun therapyHemi hamate arthroplasty

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Received April 28, 2023
Accepted May 31, 2023
Published December 25, 2023

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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