TRANSVERSE AND LONGITUDINAL OSTEOTOMY FOR THE TREATMENT OF MACRODACTYLY SIMPLEX CONGENITA — A CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 121-128 ◽  
Author(s):  
R. Kakinoki ◽  
R. Ikeguchi ◽  
Scott F. M. Duncan
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Ring Finger ◽  
Interphalangeal Joint ◽  
Soft Tissue Coverage ◽  
Distal Interphalangeal Joint ◽  
Transverse Osteotomy ◽  
Distal Interphalangeal

We report on a three-year-old girl with a severely enlarged right ring finger, which was diagnosed as macrodactyly simplex congenita. This was treated by epiphysial resection and osteosynthesis of the distal interphalangeal joint, longitudinal and transverse osteotomy of the phalanges, and soft tissue coverage using palmar proximal and dorsal distal flaps taken from the original oversised finger.

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.

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.

scholarly journals Complex dorsal dislocation of the distal interphalangeal joint: Perspectives on management

2016 ◽  
Vol 49 (03) ◽  
pp. 403-405
Author(s):  
Ajeesh Sankaran ◽  
R. Ravindra Bharathi ◽  
S. Raja Sabapathy
Keyword(s):  
Soft Tissue ◽  
Open Reduction ◽  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Joint Dislocations ◽  
Distal Interphalangeal

ABSTRACTDistal interphalangeal joint dislocations are only rarely complex and irreducible. We present a case and illustrate our approach to management of this problem. Open reduction is necessary, and preferred approach is volar. It is imperative to identify the injured soft tissue and repair them as is feasible.

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