Extension Block Pinning for the Treatment of a Dorsal Fracture Dislocation of the Distal Interphalangeal Joint: Case Report
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Interphalangeal Joint
Distal interphalangeal joint
Finger joint
Objective To report the clinical cruative effect about replanting combination tissue of proximal phalangeal joints of2 th toes for reconstracting interphalangeal joints of hand. Methods From Sep2001to Jan2004,according to the injuries of interphalangeal joint,we grafted the proximal pha-langeal joints of2 th toes for reconstracting it. Results The cases all received satisfactory effects,and following-up for6-28months,all the cases survived without joint pains . Conclusion It is an ideal method for reconstracting small joint of hand.
Interphalangeal Joint
Distal interphalangeal joint
Finger joint
Proximal phalanx
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Distal interphalangeal joint
Interphalangeal Joint
Finger joint
Phalanx
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We present a case with irreducible simultaneous dislocation of both the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints in the little finger. A combination of the delay from injury to closed reduction and the entrapped flexor digitorum profundus (FDP) tendon at the PIP joint prevented closed reduction from being performed. To our knowledge, this is the first report of such a condition.
Interphalangeal Joint
Distal interphalangeal joint
Finger joint
Tendon rupture
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Arthrodesis of the distal interphalangeal joint of the finger is an effective salvage treatment for end-stage arthropathy of the joint. This study aimed to evaluate the effect of simulated fusion of individual distal interphalangeal joints on the overall grip strength of the hand. Custom moulded thermoplastic splints were used to simulate fusion by immobilizing the index, middle, ring and little fingers’ distal interphalangeal joints in turn in both hands of 56 healthy participants. Testing was performed with no immobilization and after immobilization of each of the individual digits. Grip strengths reduced significantly following immobilization of the distal interphalangeal joint. The degree of reduction became progressively more pronounced from the index to the little fingers (12%, 18%, 24% and 25%, respectively) and was similar for the dominant and non-dominant hands. This information may have clinical application when counselling patients regarding fusion of the distal interphalangeal joint of the fingers.
Interphalangeal Joint
Distal interphalangeal joint
Finger joint
Arthropathy
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Interphalangeal Joint
Numerical digit
Distal interphalangeal joint
Finger joint
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Background: This study compares two therapies for the reconstruction of digital pulp: direct and reverse flow island flaps. Discriminatory sensation and loss of active range of motion were analyzed, with random allocation of nerve suturing. Methods: The authors conducted a randomized prospective study of 122 patients with loss of digital pulp substance in one finger between 1995 and 2005. Patients were divided into two groups: direct flow island flap (n = 62) and reverse flow island flap (n = 60). The main outcomes were the capacity to discriminate between two points, and proximal and distal interphalangeal joint motion loss. Results: In the direct flap group, there was no loss of articular mobility in 51 percent of patients in the proximal interphalangeal joint and in 55 percent of patients in the distal interphalangeal joint. The reverse flap group showed no loss of articular mobility of the proximal interphalangeal joint in 85 percent of patients and of distal interphalangeal joint in 82 percent. Maximum amplitude losses of 10 and 15 degrees were observed only in the direct flap group in proximal interphalangeal joint articulation (p < 0.001), and of 10 degrees in 10 percent of patients in distal interphalangeal joint articulation (p < 0.002). All patients (n = 29) with suturing showed a Weber score less than or equal to 8, whereas only four (13 percent) of those without suturing had a score of 8; the rest had higher Weber scores (p < 0.001). Conclusion: The direct island flap resulted in motion loss in both articulations of the finger but with better discriminatory sensation in comparison with the reverse flap.
Interphalangeal Joint
Distal interphalangeal joint
Finger joint
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Interphalangeal Joint
Finger joint
Distal interphalangeal joint
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Interphalangeal Joint
Finger joint
Distal interphalangeal joint
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Interphalangeal Joint
Finger joint
Distal interphalangeal joint
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Objective To investigate the outcome of the finger reconstruction using one toe transfer to repair the tissue defects of two fingers at the same time. Methods Two fingers joint tissue missing and finger defect of 8 fingers in 4 cases were reconstructed with dissociative transplants harvested from two parts of the same toe at the same time.Using the paratelum of the second toes reconstructed the indicis paratelum or finger tip,and using the proximal interphalangeal joint of the second toes repaired the proximal interphalangeal joint's tissue defects of the middle finger at the same time in 2 cases.Using the distal interphalangeal joint and the proximal interphalangeal joint of one second toe reconstructed the proximal interpha langeal joints of the index finger and the middle finger in 1 case.Using the proximal interphalangeal joint and the metatarsophalangeal joint of one second toe reconstructed the metacarpophalangeal joints of the index finger and the middle finger in 1 case. Results All the transplants survived.The patients were followed-up from 2 months to 46 months postoperatively.The function and shape of 2 resconstruction fingers were excellent as assessed with Criterion on Functional Evaluation on Finger Reconstruction issued by Chinese Society of Hand Surgery.Five resconstruction fingers were good.One resconstruction finger was fire. Conclusion For some appropriate cases with the tissue defects of 2 fingers such as the finger's paratelum,the interphalangeal joint or the metacarpophalangeal joint,this operated technique was a good method.
Key words:
Toe; Finger; Joint; Transplantation; Microsurgery
Interphalangeal Joint
Finger joint
Metacarpophalangeal joint
Second toe
Distal interphalangeal joint
Middle finger
Little finger
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