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Updated: Jun 4, 2026
10:08
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
[Fracture dislocation of the proximal interphalangeal joint]
Ranulfo Romo Rodríguez1, Juan Manuel Fernández Vázquez, Javier Camacho Galindo
1Centro Médico ABC. drranulforonmo@yahoo.com.mx
Acta Ortopedica Mexicana
|February 11, 2011
Summary
Proximal interphalangeal (PIP) joint fracture dislocations are rare but can limit motion. Interposition arthroplasty may offer better range of motion outcomes compared to other surgical treatments.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- The proximal interphalangeal (PIP) joint is the most frequently dislocated joint in the hand.
- PIP joint injuries, particularly fracture dislocations, present unique management challenges.
Purpose of the Study:
- To review the literature and report on the experience of treating PIP joint fracture dislocations.
- To evaluate the outcomes of various treatment modalities for PIP joint fracture dislocations.
Main Methods:
- Systematic review of the literature.
- Retrospective and descriptive study of 13 patients treated between 1991 and 2007.
- Analysis of treatment approaches including ORIF, OR with blocking pins, and interposition arthroplasty.
Main Results:
- Factors negatively impacting range of motion included patient age, delayed treatment, combined approaches, and extension-blocking pins.
- Interposition arthroplasty demonstrated a better range of motion compared to other methods.
- Mean follow-up was 4.8 months for 8 patients with recorded range of motion data.
Conclusions:
- PIP joint fracture dislocations are rare with diverse treatment options and variable functional outcomes.
- Limited flexion and extension are common sequelae following PIP joint fracture dislocations.
- Interposition arthroplasty may be a favorable option for improving range of motion.
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