Dorsal fracture subluxation of the proximal interphalangeal joints treated by extension block splintage
In a prospective study, 27 consecutive patients with dorsal fracture subluxation of the PIP joint were treated conservatively using an extension block splint, with good results in 70%. The percentage surface involved with the fracture varied considerably (19–77%) the average being 55%. Three patient...
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| Veröffentlicht in: | Journal of hand surgery, British volume British volume, 1992-10, Vol.17 (5), p.586-590 |
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| container_title | Journal of hand surgery, British volume |
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| creator | Hamer, D.W. Quinton, D.N. |
| description | In a prospective study, 27 consecutive patients with dorsal fracture subluxation of the PIP joint were treated conservatively using an extension block splint, with good results in 70%. The percentage surface involved with the fracture varied considerably (19–77%) the average being 55%. Three patients intially managed with splintage proceeded to surgery because the splint failed to hold the joint in reduction. These patients had a less favourable outcome. We feel that all such fractures can be treated by splintage, provided that early reduction is maintained in the splint and checked by serial radiology. |
| doi_str_mv | 10.1016/S0266-7681(05)80249-9 |
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The percentage surface involved with the fracture varied considerably (19–77%) the average being 55%. Three patients intially managed with splintage proceeded to surgery because the splint failed to hold the joint in reduction. These patients had a less favourable outcome. We feel that all such fractures can be treated by splintage, provided that early reduction is maintained in the splint and checked by serial radiology.</description><identifier>ISSN: 0266-7681</identifier><identifier>EISSN: 1532-2211</identifier><identifier>DOI: 10.1016/S0266-7681(05)80249-9</identifier><identifier>PMID: 1479257</identifier><identifier>CODEN: JHASE4</identifier><language>eng</language><publisher>London, England: Elsevier Ltd</publisher><subject>Adult ; Athletic Injuries - diagnostic imaging ; Athletic Injuries - therapy ; Biological and medical sciences ; Female ; Finger Injuries - diagnostic imaging ; Finger Injuries - physiopathology ; Finger Injuries - therapy ; Finger Joint - diagnostic imaging ; Finger Joint - physiology ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - therapy ; Humans ; Injuries of the limb. Injuries of the spine ; Joint Dislocations - diagnostic imaging ; Joint Dislocations - therapy ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Radiography ; Range of Motion, Articular ; Splints ; Traumas. 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The percentage surface involved with the fracture varied considerably (19–77%) the average being 55%. Three patients intially managed with splintage proceeded to surgery because the splint failed to hold the joint in reduction. These patients had a less favourable outcome. We feel that all such fractures can be treated by splintage, provided that early reduction is maintained in the splint and checked by serial radiology.</description><subject>Adult</subject><subject>Athletic Injuries - diagnostic imaging</subject><subject>Athletic Injuries - therapy</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Finger Injuries - diagnostic imaging</subject><subject>Finger Injuries - physiopathology</subject><subject>Finger Injuries - therapy</subject><subject>Finger Joint - diagnostic imaging</subject><subject>Finger Joint - physiology</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - therapy</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint Dislocations - diagnostic imaging</subject><subject>Joint Dislocations - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Splints</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0266-7681</issn><issn>1532-2211</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1LHDEUhoNY7PrxE4RciLQXo_mc2VyVYmsrCF60Xockc2bNdnayJpmy_vtmnMVeCoGQ5HnPOXkQOqfkihJaX_8irK6rpl7ST0R-XhImVKUO0IJKzirGKD1EizfkIzpOaU0IobIRR-iIikYx2SzQ6luIyfS4i8blMQJOo-3Hnck-DDh0OD8B3saw85sC-SFD3D6Z3gwrKOd1KDcJ5wgmQ4vtC4ZdhiFNWdsH9wenbV8Qs4JT9KEzfYKz_X6CHm-__775Wd0__Li7-XpfuZqRXEFnCGuUcKqTRrSutoo7DgIY52ZJrHAtU2Vxy4S1oDrLjGpbToyVYkkVP0GXc90y9PMIKeuNTw76MjKEMemGC0GZnEA5gy6GlCJ0ehvLJ-OLpkRPgvWrYD3Z00TqV8F6yp3vG4x2A-3_1Gy0vF_s301ypi9eB-fTGyYEEQ2ZMDZjqcjR6zDGoWh5t_eXOQTF4F8PUSfnYXDQ-ggu6zb4dyr8A3_VqQA</recordid><startdate>19921001</startdate><enddate>19921001</enddate><creator>Hamer, D.W.</creator><creator>Quinton, D.N.</creator><general>Elsevier Ltd</general><general>SAGE Publications</general><general>Churchill Livingstone</general><scope>IQODW</scope><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></search><sort><creationdate>19921001</creationdate><title>Dorsal fracture subluxation of the proximal interphalangeal joints treated by extension block splintage</title><author>Hamer, D.W. ; Quinton, D.N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c620t-efa02794c9f5a4dc6b93c3e4e233a80b4cd29d293b24bbe9fb2a9dd30ab548193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Athletic Injuries - diagnostic imaging</topic><topic>Athletic Injuries - therapy</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Finger Injuries - diagnostic imaging</topic><topic>Finger Injuries - physiopathology</topic><topic>Finger Injuries - therapy</topic><topic>Finger Joint - diagnostic imaging</topic><topic>Finger Joint - physiology</topic><topic>Fractures, Bone - diagnostic imaging</topic><topic>Fractures, Bone - therapy</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Joint Dislocations - diagnostic imaging</topic><topic>Joint Dislocations - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Splints</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Hamer, D.W.</creatorcontrib><creatorcontrib>Quinton, D.N.</creatorcontrib><collection>Pascal-Francis</collection><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>Journal of hand surgery, British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamer, D.W.</au><au>Quinton, D.N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dorsal fracture subluxation of the proximal interphalangeal joints treated by extension block splintage</atitle><jtitle>Journal of hand surgery, British volume</jtitle><addtitle>J Hand Surg Br</addtitle><date>1992-10-01</date><risdate>1992</risdate><volume>17</volume><issue>5</issue><spage>586</spage><epage>590</epage><pages>586-590</pages><issn>0266-7681</issn><eissn>1532-2211</eissn><coden>JHASE4</coden><abstract>In a prospective study, 27 consecutive patients with dorsal fracture subluxation of the PIP joint were treated conservatively using an extension block splint, with good results in 70%. The percentage surface involved with the fracture varied considerably (19–77%) the average being 55%. Three patients intially managed with splintage proceeded to surgery because the splint failed to hold the joint in reduction. These patients had a less favourable outcome. We feel that all such fractures can be treated by splintage, provided that early reduction is maintained in the splint and checked by serial radiology.</abstract><cop>London, England</cop><pub>Elsevier Ltd</pub><pmid>1479257</pmid><doi>10.1016/S0266-7681(05)80249-9</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of hand surgery, British volume, 1992-10, Vol.17 (5), p.586-590 |
| issn | 0266-7681 1532-2211 |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List; Alma/SFX Local Collection |
| subjects | Adult Athletic Injuries - diagnostic imaging Athletic Injuries - therapy Biological and medical sciences Female Finger Injuries - diagnostic imaging Finger Injuries - physiopathology Finger Injuries - therapy Finger Joint - diagnostic imaging Finger Joint - physiology Fractures, Bone - diagnostic imaging Fractures, Bone - therapy Humans Injuries of the limb. Injuries of the spine Joint Dislocations - diagnostic imaging Joint Dislocations - therapy Male Medical sciences Middle Aged Prospective Studies Radiography Range of Motion, Articular Splints Traumas. Diseases due to physical agents Treatment Outcome |
| title | Dorsal fracture subluxation of the proximal interphalangeal joints treated by extension block splintage |
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