Value of immediate mobilization in proximal interphalangeal volar plate avulsions

Volar plate avulsion at the proximal interphalangeal (PIP) joint, either poorly managed or left without treatment, may expose to severe PIP stiffness. The authors systematically employ early mobilization to treat this type of lesion. Rehabilitation is confided to a physical therapist trained in hand rehabilitation and seen weekly or twice a month by the supervising surgeon. In a series of 100 volar plate avulsions demonstrated by X-rays, this kind of easy and adaptable treatment can provide up to 98% of good to very good results. This completely justifies the authors' choice.