SIMULTANEOUS DORSAL DISLOCATION OF THE INTERPHALANGEAL JOINTS IN RING FINGER WITH PROXIMAL INTERPHALANGEAL JOINT DISLOCATION OF THE MIDDLE FINGER: CASE REPORT AND REVIEW OF THE LITERATURE

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 271-274 ◽  
Author(s):  
S. Shyamsundar ◽  
W. MacSween
Keyword(s):  
Ring Finger ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Early Mobilisation ◽  
Review Of The Literature ◽  
Joint Dislocation ◽  
Initial Injury ◽  
Excellent Functional Outcome ◽  
Distal Interphalangeal

A 30-year-old amateur goalkeeper sustained simultaneous dislocation of the proximal and distal interphalangeal joints of the ring finger and of the proximal interphalangeal joint of the middle finger following a hyperextension injury. This was reduced under a local anaesthetic. Neighbour finger strapping and early mobilisation achieved an excellent functional outcome when reviewed at eight weeks after the initial injury.

Modified “On-Top-Plasty” Technique for Restoring Length to Amputation Stumps

2002 ◽  
Vol 27 (3) ◽  
pp. 265-269 ◽  
Author(s):  
V. PISTRE ◽  
P. PELISSIER ◽  
A. BALLANGER ◽  
D. MARTIN ◽  
J. BAUDET
Keyword(s):  
Proximal Phalanx ◽  
Ring Finger ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Secondary Procedure ◽  
Amputation Stumps ◽  
Amputation Stump ◽  
Middle Ring

Five patients were successfully treated with a modified “on-top-plasty” technique, in which a finger stump is lengthened by transfer of an adjacent amputation stump with a reverse blood flow fingerstump. This technique can be performed in the acute phase or as a secondary procedure. A conventional on-top-plasty can be performed by transfer of a partially amputated index or ring finger to the “top” of the proximal phalanx of an amputated middle finger. Alternatively, the transferred part may be used in an intercalated fashion to reconstruct the middle phalanx, using a prosthesis to reconstruct the proximal interphalangeal joint. The results, complications and disadvantages of the technique are reported. We propose this procedure for the reconstruction of the middle ring finger when a free microneurovascular toe-to-hand transfer is contraindicated or refused by the patient.

scholarly journals Dynamic Functional Assessment of Hand Motion Using an Animation Glove: The Effect of Stenosing Tenosynovitis

Hand ◽  
2017 ◽  
Vol 13 (6) ◽  
pp. 695-704 ◽  
Author(s):  
Michael J. Schreck ◽  
Meghan Kelly ◽  
Sarah Lander ◽  
Anjan Kaushik ◽  
Heather Smith ◽  
...  
Keyword(s):  
Hand Function ◽  
Functional Limitations ◽  
Ring Finger ◽  
Maximum Velocity ◽  
Normal Subjects ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Hand Motion ◽  
Stenosing Tenosynovitis ◽  
Distal Interphalangeal

Background: The aim of the present study is to determine whether an animation glove can be utilized to provide a reliable and reproducible assessment of dynamic hand function and whether this assessment is altered in the setting of hand pathology. Methods: Ten subjects without known hand pathology and 11 subjects with known stenosing tenosynovitis were assessed on tasks involving hand function at varied speeds, including forceful and gradual making of a fist and the quick and slow grip of a baseball using an animation glove to record range of motion and measures of velocity (CyberGlove II). Results: In normal subjects, peak extension and flexion velocity of the index and middle finger was highest in the metacarpophalangeal and lowest in the distal interphalangeal; however, the converse was true in the ring finger. In those subjects with stenosing tenosynovitis, the animation glove was able to detect a triggering event during assessment. Furthermore, there was a significant decrease in the maximum velocity of the proximal interphalangeal joint observed with the slow fist task in both flexion and extension (55%, P < .01) in the affected hand when compared with the unaffected hand. Conclusions: The CyberGlove II can be utilized in the dynamic functional analysis of the hand and is able to detect a triggering event in subjects with known stenosing tenosynovitis. Those subjects demonstrate a significant decrease in maximum velocity in slow fist tasks, highlighting the need for comprehensive assessment to ascertain the full extent of functional limitations that can occur in the setting of hand pathology.

Irreducible Palmar Dislocation of the Distal Interphalangeal Joint

2006 ◽  
Vol 31 (3) ◽  
pp. 296-297 ◽  
Author(s):  
Y. MORISAWA ◽  
H. IKEGAMI ◽  
R. IZUMIDA
Keyword(s):  
Open Reduction ◽  
Ring Finger ◽  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Distal Interphalangeal

A case of a child with rare palmar dislocation of the ring finger distal interphalangeal joint requiring open reduction is presented and the literature discussed.

Volar plating versus external fixation for unstable dorsal fracture-dislocations of the proximal interphalangeal joint

2021 ◽  
pp. 175319342110593
Author(s):  
Atsuhiko Murayama ◽  
Kentaro Watanabe ◽  
Hideyuki Ota ◽  
Shigeru Kurimoto ◽  
Hitoshi Hirata
Keyword(s):  
External Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plating ◽  
Distal Interphalangeal Joint ◽  
Active Flexion ◽  
Plate Group ◽  
Fracture Dislocations ◽  
Distal Interphalangeal

We retrospectively compared the results of volar plating and dynamic external fixation for acute unstable dorsal fracture-dislocations of the proximal interphalangeal joint with a depressed fragment. We treated 31 patients (31 fingers), 12 with volar buttress plating and 19 with dynamic external fixation. Follow-up averaged 35 and 40 months in the two groups, with a minimal 6-month follow-up. Average active flexion of the proximal interphalangeal joint was 95° after plate fixation and 87° after external fixation, with an active extension lag of –6° and –9°, respectively. Active flexion at the distal interphalangeal joint averaged 67° in the plate group and 58° in the external fixation group, with active extension lags of 0° and –5°, respectively. We conclude that both methods can obtain a good range of motion at the proximal interphalangeal joint. A limitation of the extension of the distal interphalangeal joint occurred with dynamic external fixation but not with volar buttress plating. Level of evidence: IV

scholarly journals Plant Thorn Synovitis of the Hand in an Adult Patient: A Case Report and Review of the Current Literature

2019 ◽  
Vol 5 ◽  
pp. 2513826X1987650
Author(s):  
Sarah L. Zhu ◽  
Cameron F. Leveille ◽  
Emily E. Dunn ◽  
Michael J. Cooper
Keyword(s):  
Case Report ◽  
Current Literature ◽  
Foreign Bodies ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
The Past ◽  
Left Middle ◽  
Exploratory Surgery ◽  
Plum Tree

This is a case of plant thorn synovitis of the hand in an adult following a plum tree thorn injury, the first reported case in the hands in the past decade. The patient initially presented with persistent joint discomfort following removal of a retained plum thorn fragment from the skin overlyin the proximal interphalangeal joint of the left middle finger. Initial radiography and sonography imaging following the removal revealed no foreign bodies. However, the patient’s symptoms were worsening and refractory to anti-inflammatory and antibiotic treatment. An exploratory surgery was carried out, which revealed multiple plant thorn fragments within the synovium, each measuring approximately 1 mm in size. A synovectomy was performed and the patient recovered with full function. Our case of plant thorn synovitis is discussed along with a review of the current literature on plant thorn synovitis in the hands.

The Effect of Ring Finger Distal Interphalangeal Joint Stiffness on Grip Strength: A Simulated Study in Normal Participants

2020 ◽  
Vol 25 (03) ◽  
pp. 296-300
Author(s):  
Robert J. Lambert ◽  
Thomas FM. Yeoman ◽  
Chaoyang Wang ◽  
Jaime Grant ◽  
Philippa A. Rust
Keyword(s):  
Grip Strength ◽  
Ring Finger ◽  
Significant Loss ◽  
Hand Grip Strength ◽  
Interphalangeal Joint ◽  
Rank Test ◽  
Distal Interphalangeal Joint ◽  
Hand Grip ◽  
Significant Difference ◽  
Distal Interphalangeal

Background: Pain of the hand distal interphalangeal joints may result from trauma, osteoarthritis or inflammatory arthritis. When symptoms are not controlled by non-operative means, surgical arthrodesis may be performed, resulting in complete stiffness of the joint and possible weakening of grip strength. This study aims to quantify the effect of a stiff ring finger distal interphalangeal joint on overall grip strength. Methods: One hundred participants were screened to exclude upper limb pathology. A Jamar dynamometer was used to assess overall hand grip strength. A splint was used to prevent distal interphalangeal joint flexion, thus replicating a fused distal interphalangeal joint. Participants were tested with and without the splint and the results compared. The mean of three grip strength tests was taken. Results: The participants included 55 females. Mean age was 31 (18–60 years). 76 participants had a reduction in grip strength with splinting, with a significant difference seen (p < 0.05) on Wilcoxon signed rank test. The median reduction in grip strength with splinting was 1.67 kg. However only 10 participants (10%) had a grip strength loss of greater than 6.5 kg, which is the minimal clinically important difference. Conclusions: This study found a significant loss in overall hand grip strength when the ring finger distal interphalangeal joint was stiffened. However, despite this significant change, only 10 (10%) participants experienced a reduction of greater than 6.5 kg. This is the level of weakness felt to be required to reduce function. Thus our results suggest that 90% of patients with a stiff ring finger distal interphalangeal joint are unlikely to have a clinically identifiable functional reduction in grip strength as a result.

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