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Updated: Feb 12, 2026

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
Published on: August 14, 2018
Management of Proximal Interphalangeal Joint Fracture Dislocations
Nicholas M Caggiano1, Carl M Harper2, Tamara D Rozental3
1Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, 330 Brookline Avenue-Stoneman 10, Boston, MA 02215, USA.
Abstract:
Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Unfortunately, these injuries are commonly written off and left untreated. A late-presenting PIP joint fracture dislocation has a poor chance of regaining normal range of motion. The provider must be suspicious of these injuries. Treatment options and algorithm are reviewed.
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