[Long fingers proximal interphalangeal joint trauma].

Area of Science:

• Orthopedic Surgery
• Hand Surgery
• Radiology

Background:

• Sprains and dislocations of the proximal interphalangeal (PIP) joint are frequent injuries.
• These injuries are often overlooked, leading to potential long-term complications.
• Timely and appropriate management is crucial to prevent joint stiffness and deformities.

Purpose of the Study:

• To outline the essential diagnostic and treatment principles for proximal interphalangeal (PIP) joint sprains and dislocations.
• To emphasize the importance of early detection and appropriate management to optimize patient outcomes.
• To highlight the role of clinical examination and imaging in guiding treatment decisions.

Main Methods:

• Initial assessment involves anteroposterior and true lateral radiographs.
• Clinical examination is essential to detect joint laxity, guiding treatment strategies.
• Treatment focuses on restoring joint congruency and enabling early mobilization.

Main Results:

• Intra-articular fractures require referral to a specialist.
• Early mobilization and restoration of joint congruency are key treatment components.
• Surgical intervention is rarely indicated for PIP joint sprains and dislocations.

Conclusions:

• Prompt diagnosis and management of PIP joint injuries are vital to prevent stiffness and deformity.
• While complications are possible, conservative treatment with early mobilization is often successful.
• Persistent pain and swelling can occur for up to a year post-injury.