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Swelling, Stiffness, and Dysfunction Following Proximal Interphalangeal Joint Sprains.

Quincy T Cheesman1, Stephanie A Kwan1, Michael J DeFrance1

  • 1Jefferson Health Orthopaedic Surgery Residency - New Jersey, Stratford, NJ.

The Journal of Hand Surgery
|April 2, 2023
PubMed
Summary
This summary is machine-generated.

Proximal interphalangeal (PIP) joint sprains commonly cause prolonged swelling and stiffness. Many patients experience ongoing dysfunction for up to a year after injury, impacting daily activities.

Keywords:
Finger dysfunctionPIPJ sprainfinger swelling

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Hand Surgery

Background:

  • Proximal interphalangeal (PIP) joint sprains are frequent injuries.
  • These injuries often lead to persistent swelling, stiffness, and functional deficits.
  • The exact duration of these long-term effects is not well-established.

Purpose of the Study:

  • To determine the duration of finger swelling, stiffness, and dysfunction after a PIP joint sprain.
  • To identify factors influencing recovery time and long-term outcomes.

Main Methods:

  • Prospective, longitudinal, survey-based study design.
  • Patients with PIP joint sprains identified via ICD-10 codes.
  • Monthly surveys for up to one year to assess resolution of swelling, range of motion, daily living limitations, pain (VAS), and return to normalcy.

Main Results:

  • 63% of patients experienced swelling resolution within one year.
  • Among those with resolved swelling, 42% reported full subjective normalcy, while 47% had range of motion limitations and 41% had activity limitations.
  • Patients without swelling resolution showed significantly higher rates of limitations (82% range of motion, 65% activity) and lower return to normalcy (15%).

Conclusions:

  • Prolonged swelling, stiffness, and dysfunction are common sequelae of PIP joint sprains.
  • A significant portion of patients experience persistent limitations even after swelling resolution.
  • Early resolution of swelling correlates with better long-term functional recovery.