Radial Collateral Ligament Injury of the Little Finger Proximal Interphalangeal Joint in Young Pianists

2014 ◽  
Vol 39 (8) ◽  
pp. 1535-1539 ◽  
Author(s):  
Hyun Sik Gong ◽  
Hoyune Esther Cho ◽  
Seung Hwan Rhee ◽  
Jihyeong Kim ◽  
Young Ho Lee ◽  
...  
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Ligament Injury ◽  
Collateral Ligament ◽  
Radial Collateral Ligament ◽  
Little Finger

Swan neck deformity due to chronic radial collateral ligament injury of the little finger proximal interphalangeal joint

2017 ◽  
Vol 43 (5) ◽  
pp. 513-517
Author(s):  
Yoshitaka Hamada ◽  
Hiroaki Takai ◽  
Ryousuke Satoh ◽  
Naohito Hibino ◽  
Yukiko Ueda ◽  
...  
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Ligament Injury ◽  
Collateral Ligament ◽  
Level Of Evidence ◽  
Ulnar Deviation ◽  
Radial Collateral Ligament ◽  
Palmar Plate ◽  
Pip Joint ◽  
Swan Neck Deformity ◽  
Little Finger

We present seven cases of a relatively rare swan neck deformity resulting from chronic radial collateral ligament (RCL) injury of the proximal interphalangeal (PIP) joint in the little finger. All patients were middle-aged women (mean 51 years old, range 42–55), and the duration between the initial injury and surgery was 20 years (range 5–40). The chief complaint was painful snapping of the PIP joint. All patients had hyperextension and ulnar deviation of the PIP joint with mobile swan neck deformities that had not improved with conservative treatment. Radiographs revealed osteoarthritis and ulnar deviation of the PIP joints in all cases. We describe a method for reconstruction of both the palmar plate and the RCL of the affected PIP joint using a distally-based ulnar slip of flexor superficialis tendon. The prevention of PIP joint hyperextension was critical for successful resolution of symptoms; the aim of RCL augmentation was to prevent the recurrence of the deformity. Level of evidence: IV

IRREDUCIBLE VOLAR SUBLUXATION OF THE PROXIMAL INTERPHALANGEAL JOINT DUE TO RADIAL COLLATERAL LIGAMENT INTERPOSITION: CASE REPORT AND REVIEW OF LITERATURE

Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 153-157 ◽  
Author(s):  
Jason Pui Yin Cheung ◽  
Wing Lim Tse ◽  
Pak Cheong Ho
Keyword(s):  
Joint Stiffness ◽  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Careful Examination ◽  
Preoperative Imaging ◽  
Loss Of Function ◽  
Flexion Deformity ◽  
Collateral Ligament ◽  
Radial Collateral Ligament ◽  
Primary Assessment

Irreducible volar subluxation should be considered when assessing a patient with flexion deformity of the proximal interphalangeal finger joint (PIPJ). Primary assessment requires careful examination of the collateral ligaments and extensor tendon. Preoperative imaging such as ultrasound and MRI can help identify the interposed structures and plan the subsequent operation. Although rare, irreducible volar subluxation due to radial collateral ligament interposition is an important entity to be aware of. Prompt and appropriate management can prevent joint stiffness and loss of function.

Area of cartilage accessible to curettage for subsequent arthrodesis of the equine proximal interphalangeal joint

2013 ◽  
Vol 26 (06) ◽  
pp. 489-492 ◽  
Author(s):  
S. Berchtold ◽  
J. M. Kuemmerle
Keyword(s):  
Articular Cartilage ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Joint Disease ◽  
Collateral Ligaments ◽  
Collateral Ligament ◽  
Contralateral Limb ◽  
Conventional Procedure ◽  
Articular Cartilage Surface ◽  
The Difference

SummaryThis study compared the areas of cartilage accessible for curettage in arthrodesis of the equine proximal interphalangeal joint using the conventional and collateral ligament sparing approaches. For this purpose, forelimbs and hindlimbs of six equine cadavers without radiographic evidence of proximal interphalangeal joint disease were used. One limb of each pair of limbs was randomly assigned to a dissection using a standard approach to the proximal interphalangeal joint including transection of the collateral ligaments, while each contralateral limb was exposed using the same approach but leaving the collateral ligaments intact. Hohmann retractors and Spratt curettes were then used to remove as much articular cartilage as possible. Finally, proximal interphalangeal joints were photographed and image analysis was performed.Using the collateral ligament sparing procedure, the mean percentage of articular cartilage surface removed (41.2%) was significantly less than using the conventional procedure (79.6%) (p <0.01). The difference between forelimbs and hindlimbs was not significant.

Sign in / Sign up

Export Citation Format

Share Document