Swelling, Stiffness, and Dysfunction Following Proximal Interphalangeal Joint Sprains
Proximal interphalangeal (PIP) joint sprains are common injuries that often result in prolonged swelling, stiffness, and dysfunction; however, the duration of these sequelae is unknown. The purpose of this study was to determine the duration of time that patients experience finger swelling, stiffnes...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2024-11, Vol.49 (11), p.1138.e1-1138.e6 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Cheesman, Quincy T. Kwan, Stephanie A. DeFrance, Michael J. Jennings, John D. Rivlin, Michael Matzon, Jonas L. |
| description | Proximal interphalangeal (PIP) joint sprains are common injuries that often result in prolonged swelling, stiffness, and dysfunction; however, the duration of these sequelae is unknown. The purpose of this study was to determine the duration of time that patients experience finger swelling, stiffness, and dysfunction following a PIP joint sprain.
This was a prospective, longitudinal, survey-based study. To identify patients with PIP joint sprains, the electronic medical record was queried monthly using International Classification of Disease, Tenth Revision, codes for PIP joint sprain. A five-question survey was emailed monthly for 1 year or until their response indicated resolution of swelling, whichever occurred sooner. Two cohorts were established: patients with (resolution cohort) and patients without (no-resolution cohort) self-reported resolution of swelling of the involved finger within 1 year of a PIP joint sprain injury. The measured outcomes included self-reported resolution of swelling, self-reported limitations to range of motion, limitations to activities of daily living, Visual Analog Scale (VAS) pain score, and return to normalcy.
Of 93 patients, 59 (63%) had complete resolution of swelling within 1 year of a PIP joint sprain. Of the patients in the resolution cohort, 42% reported return to subjective normalcy, with 47% having self-reported limitations in range of motion and 41% having limitations in activities of daily living. At the time of resolution of swelling, the average VAS pain score was 0.8 out of 10. In contrast, only 15% of patients in the no-resolution cohort reported return to subjective normalcy, with 82% having self-reported limitations in range of motion and 65% having limitations in activities of daily living. For this cohort, the average VAS pain score at 1 year was 2.6 out of 10.
It is common for patients to experience a prolonged duration of swelling, stiffness, and dysfunction following PIP joint sprains.
Prognostic IV. |
| doi_str_mv | 10.1016/j.jhsa.2023.01.025 |
| format | Article |
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This was a prospective, longitudinal, survey-based study. To identify patients with PIP joint sprains, the electronic medical record was queried monthly using International Classification of Disease, Tenth Revision, codes for PIP joint sprain. A five-question survey was emailed monthly for 1 year or until their response indicated resolution of swelling, whichever occurred sooner. Two cohorts were established: patients with (resolution cohort) and patients without (no-resolution cohort) self-reported resolution of swelling of the involved finger within 1 year of a PIP joint sprain injury. The measured outcomes included self-reported resolution of swelling, self-reported limitations to range of motion, limitations to activities of daily living, Visual Analog Scale (VAS) pain score, and return to normalcy.
Of 93 patients, 59 (63%) had complete resolution of swelling within 1 year of a PIP joint sprain. Of the patients in the resolution cohort, 42% reported return to subjective normalcy, with 47% having self-reported limitations in range of motion and 41% having limitations in activities of daily living. At the time of resolution of swelling, the average VAS pain score was 0.8 out of 10. In contrast, only 15% of patients in the no-resolution cohort reported return to subjective normalcy, with 82% having self-reported limitations in range of motion and 65% having limitations in activities of daily living. For this cohort, the average VAS pain score at 1 year was 2.6 out of 10.
It is common for patients to experience a prolonged duration of swelling, stiffness, and dysfunction following PIP joint sprains.
Prognostic IV.</description><identifier>ISSN: 0363-5023</identifier><identifier>ISSN: 1531-6564</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2023.01.025</identifier><identifier>PMID: 37005108</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adult ; Edema - etiology ; Edema - physiopathology ; Female ; Finger dysfunction ; Finger Injuries - physiopathology ; Finger Joint - physiopathology ; finger swelling ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Pain Measurement ; PIPJ sprain ; Prospective Studies ; Range of Motion, Articular - physiology ; Sprains and Strains - physiopathology ; Time Factors ; Young Adult</subject><ispartof>The Journal of hand surgery (American ed.), 2024-11, Vol.49 (11), p.1138.e1-1138.e6</ispartof><rights>2024 American Society for Surgery of the Hand</rights><rights>Copyright © 2024 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-d77d8288a722b45eee85de1dff2b8830b41f3594f1efeafdaef50783545215dc3</citedby><cites>FETCH-LOGICAL-c356t-d77d8288a722b45eee85de1dff2b8830b41f3594f1efeafdaef50783545215dc3</cites><orcidid>0000-0002-2353-7332</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jhsa.2023.01.025$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37005108$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheesman, Quincy T.</creatorcontrib><creatorcontrib>Kwan, Stephanie A.</creatorcontrib><creatorcontrib>DeFrance, Michael J.</creatorcontrib><creatorcontrib>Jennings, John D.</creatorcontrib><creatorcontrib>Rivlin, Michael</creatorcontrib><creatorcontrib>Matzon, Jonas L.</creatorcontrib><title>Swelling, Stiffness, and Dysfunction Following Proximal Interphalangeal Joint Sprains</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>Proximal interphalangeal (PIP) joint sprains are common injuries that often result in prolonged swelling, stiffness, and dysfunction; however, the duration of these sequelae is unknown. The purpose of this study was to determine the duration of time that patients experience finger swelling, stiffness, and dysfunction following a PIP joint sprain.
This was a prospective, longitudinal, survey-based study. To identify patients with PIP joint sprains, the electronic medical record was queried monthly using International Classification of Disease, Tenth Revision, codes for PIP joint sprain. A five-question survey was emailed monthly for 1 year or until their response indicated resolution of swelling, whichever occurred sooner. Two cohorts were established: patients with (resolution cohort) and patients without (no-resolution cohort) self-reported resolution of swelling of the involved finger within 1 year of a PIP joint sprain injury. The measured outcomes included self-reported resolution of swelling, self-reported limitations to range of motion, limitations to activities of daily living, Visual Analog Scale (VAS) pain score, and return to normalcy.
Of 93 patients, 59 (63%) had complete resolution of swelling within 1 year of a PIP joint sprain. Of the patients in the resolution cohort, 42% reported return to subjective normalcy, with 47% having self-reported limitations in range of motion and 41% having limitations in activities of daily living. At the time of resolution of swelling, the average VAS pain score was 0.8 out of 10. In contrast, only 15% of patients in the no-resolution cohort reported return to subjective normalcy, with 82% having self-reported limitations in range of motion and 65% having limitations in activities of daily living. For this cohort, the average VAS pain score at 1 year was 2.6 out of 10.
It is common for patients to experience a prolonged duration of swelling, stiffness, and dysfunction following PIP joint sprains.
Prognostic IV.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Edema - etiology</subject><subject>Edema - physiopathology</subject><subject>Female</subject><subject>Finger dysfunction</subject><subject>Finger Injuries - physiopathology</subject><subject>Finger Joint - physiopathology</subject><subject>finger swelling</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain Measurement</subject><subject>PIPJ sprain</subject><subject>Prospective Studies</subject><subject>Range of Motion, Articular - physiology</subject><subject>Sprains and Strains - physiopathology</subject><subject>Time Factors</subject><subject>Young Adult</subject><issn>0363-5023</issn><issn>1531-6564</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1KAzEYRYMoWqsv4EJm6aIz5mcyk4IbqX-VgkJ1HdLJF02ZJjWZWn17U1pdugofOffCPQidEVwQTKrLeTF_j6qgmLICkwJTvod6hDOSV7wq91EPs4rlPH0foeMY5xinFOOH6IjVGHOCRQ-9TtfQtta9DbJpZ41xEOMgU05nN9_RrFzTWe-yO9-2fp2o7Dn4L7tQbTZ2HYTlu2qVe4N0P3rrumy6DMq6eIIOjGojnO7ePnq9u30ZPeSTp_vx6HqSN4xXXa7rWgsqhKopnZUcAATXQLQxdCYEw7OSGMaHpSFgQBmtwHBcC8ZLTgnXDeuji23vMviPFcROLmxs0iDlwK-ipPWwrAQfEpFQukWb4GMMYOQypCHhWxIsNzrlXG50yo1OiYlMOlPofNe_mi1A_0V-_SXgagtAWvlpIcjYWHANaBug6aT29r_-HzWuhz4</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Cheesman, Quincy T.</creator><creator>Kwan, Stephanie A.</creator><creator>DeFrance, Michael J.</creator><creator>Jennings, John D.</creator><creator>Rivlin, Michael</creator><creator>Matzon, Jonas L.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2353-7332</orcidid></search><sort><creationdate>20241101</creationdate><title>Swelling, Stiffness, and Dysfunction Following Proximal Interphalangeal Joint Sprains</title><author>Cheesman, Quincy T. ; Kwan, Stephanie A. ; DeFrance, Michael J. ; Jennings, John D. ; Rivlin, Michael ; Matzon, Jonas L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-d77d8288a722b45eee85de1dff2b8830b41f3594f1efeafdaef50783545215dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Edema - etiology</topic><topic>Edema - physiopathology</topic><topic>Female</topic><topic>Finger dysfunction</topic><topic>Finger Injuries - physiopathology</topic><topic>Finger Joint - physiopathology</topic><topic>finger swelling</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain Measurement</topic><topic>PIPJ sprain</topic><topic>Prospective Studies</topic><topic>Range of Motion, Articular - physiology</topic><topic>Sprains and Strains - physiopathology</topic><topic>Time Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheesman, Quincy T.</creatorcontrib><creatorcontrib>Kwan, Stephanie A.</creatorcontrib><creatorcontrib>DeFrance, Michael J.</creatorcontrib><creatorcontrib>Jennings, John D.</creatorcontrib><creatorcontrib>Rivlin, Michael</creatorcontrib><creatorcontrib>Matzon, Jonas L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheesman, Quincy T.</au><au>Kwan, Stephanie A.</au><au>DeFrance, Michael J.</au><au>Jennings, John D.</au><au>Rivlin, Michael</au><au>Matzon, Jonas L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Swelling, Stiffness, and Dysfunction Following Proximal Interphalangeal Joint Sprains</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>49</volume><issue>11</issue><spage>1138.e1</spage><epage>1138.e6</epage><pages>1138.e1-1138.e6</pages><issn>0363-5023</issn><issn>1531-6564</issn><eissn>1531-6564</eissn><abstract>Proximal interphalangeal (PIP) joint sprains are common injuries that often result in prolonged swelling, stiffness, and dysfunction; however, the duration of these sequelae is unknown. The purpose of this study was to determine the duration of time that patients experience finger swelling, stiffness, and dysfunction following a PIP joint sprain.
This was a prospective, longitudinal, survey-based study. To identify patients with PIP joint sprains, the electronic medical record was queried monthly using International Classification of Disease, Tenth Revision, codes for PIP joint sprain. A five-question survey was emailed monthly for 1 year or until their response indicated resolution of swelling, whichever occurred sooner. Two cohorts were established: patients with (resolution cohort) and patients without (no-resolution cohort) self-reported resolution of swelling of the involved finger within 1 year of a PIP joint sprain injury. The measured outcomes included self-reported resolution of swelling, self-reported limitations to range of motion, limitations to activities of daily living, Visual Analog Scale (VAS) pain score, and return to normalcy.
Of 93 patients, 59 (63%) had complete resolution of swelling within 1 year of a PIP joint sprain. Of the patients in the resolution cohort, 42% reported return to subjective normalcy, with 47% having self-reported limitations in range of motion and 41% having limitations in activities of daily living. At the time of resolution of swelling, the average VAS pain score was 0.8 out of 10. In contrast, only 15% of patients in the no-resolution cohort reported return to subjective normalcy, with 82% having self-reported limitations in range of motion and 65% having limitations in activities of daily living. For this cohort, the average VAS pain score at 1 year was 2.6 out of 10.
It is common for patients to experience a prolonged duration of swelling, stiffness, and dysfunction following PIP joint sprains.
Prognostic IV.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37005108</pmid><doi>10.1016/j.jhsa.2023.01.025</doi><orcidid>https://orcid.org/0000-0002-2353-7332</orcidid></addata></record> |
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| subjects | Activities of Daily Living Adult Edema - etiology Edema - physiopathology Female Finger dysfunction Finger Injuries - physiopathology Finger Joint - physiopathology finger swelling Humans Longitudinal Studies Male Middle Aged Pain Measurement PIPJ sprain Prospective Studies Range of Motion, Articular - physiology Sprains and Strains - physiopathology Time Factors Young Adult |
| title | Swelling, Stiffness, and Dysfunction Following Proximal Interphalangeal Joint Sprains |
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