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Related Concept Videos

Fractures: Bone Repair01:27

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Related Experiment Video

Updated: Apr 26, 2026

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Proximal interphalangeal joint dislocations and treatment: an evolutionary process.

Kenneth Michael Joyce1, Cormac Weekes Joyce1, Frank Conroy2

  • 1Department of Plastic and Reconstructive Surgery, Galway University Hospital, Galway, Ireland.

Archives of Plastic Surgery
|July 31, 2014
PubMed
Summary

The figure-of-eight splint offers superior outcomes for proximal interphalangeal joint (PIPJ) dislocations, improving range of motion and reducing clinic visits. Early, controlled mobilization is key for optimal PIPJ dislocation treatment.

Keywords:
DislocationFinger jointSplint

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Traumatology

Background:

  • Proximal interphalangeal joint (PIPJ) dislocations are common hand injuries requiring extensive follow-up.
  • Current treatment options for PIPJ dislocations lack prospective or controlled studies due to injury variability.

Purpose of the Study:

  • To compare the efficacy of different splinting techniques for treating PIPJ dislocations.
  • To evaluate the shift in management from immobilization to early mobilization.

Main Methods:

  • Retrospective review of 77 PIPJ dislocations over five years.
  • Direct comparison of various splinting techniques employed during the study period.

Main Results:

  • The figure-of-eight splint group demonstrated significantly greater PIPJ range of motion (P<0.05).
  • Fewer hospital visits were recorded for patients treated with the figure-of-eight splint.
  • Management evolved towards controlled early mobilization using figure-of-eight splints.

Conclusions:

  • Early controlled mobilization is crucial for effective PIPJ dislocation treatment.
  • The figure-of-eight splint is a highly effective option for PIPJ dislocations, yielding excellent results.
  • Careful patient selection is necessary for optimizing outcomes with figure-of-eight splinting.