ON-TOP PLASTY USING A FREE METACARPAL HEAD GRAFT FOR LENGTHENING OF PROXIMAL PHALANX IN SYMBRACHYDACTYLY — A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (02) ◽  
pp. 273-275 ◽  
Author(s):  
Kousuke Iba ◽  
Takuro Wada ◽  
Toshihiko Yamashita
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Bone Growth ◽  
Proximal Phalanx ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Soft Tissue Envelope ◽  
Metacarpal Head ◽  
Little Finger

A three-year old patient with symbrachydactyly (didactyly type) presented with a little finger that was too short to allow pinching and consisting of a floppy soft-tissue envelope with hypoplastic phalanges, although the thumb was functional. As the proximal phalanx was too small to permit distraction lengthening or conventional bone grafting, on-top plasty using a 4th metacarpal graft with a cartilage head was undertaken for lengthening the proximal phalanx of the little finger for pinch reconstruction. At ten weeks after surgery, the patient achieved satisfactory pinch function due to the lengthened and bone-stabilised postoperative digit and reconstruction of functional proximal interphalangeal joint. In addition, the grafted metacarpal demonstrated satisfactory bone growth throughout the six-year follow-up period.

IRREDUCIBLE OPEN DORSAL DISLOCATION OF THE PROXIMAL INTERPHALANGEAL JOINT: A CASE REPORT

Hand Surgery ◽  
2010 ◽  
Vol 15 (01) ◽  
pp. 61-64 ◽  
Author(s):  
Shizuka Muraoka ◽  
Yukihiro Furue ◽  
Mahito Kawashima
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Relevant Literature ◽  
Proximal Phalanx ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Volar Plate ◽  
Normal Position ◽  
Flexor Tendons

We report a rare case of open dorsal dislocation of the proximal interphalangeal joint which needed operative reduction. A 39-year-old man injured his right middle finger while playing baseball. There was a laceration on the proximal interphalangeal crease, and the condyles of the proximal phalanx protruded through the wound. The flexor tendons had slipped behind the radial condyle, and made reduction impossible. After the flexor tendons and volar plate were replaced back into their normal position, the reduction was successful. Finally, the patient had full and painless motion of the digit. We review the reported cases of this injury in the relevant literature.

Irreducible Compound Dorsal Dislocations of the Proximal Interphalangeal Joint of the Finger

1986 ◽  
Vol 11 (1) ◽  
pp. 49-50
Author(s):  
INGER KJELDAL
Keyword(s):  
Soft Tissue ◽  
Open Reduction ◽  
Proximal Phalanx ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Probable Mechanism ◽  
Hand Injuries ◽  
Tissue Structures

Three cases of compound irreducible dorsal dislocation of the proximal interphalangeal joint of the finger are reported. The probable mechanism is discussed. The findings warrant the description “volar capsular boutonnière” as the condyles of the proximal phalanx buttonhole, through the volar structures. Open reduction combined with debridement, is the treatment for such compound irreducible dorsal dislocations. Dislocation of the proximal interphalangeal joints of the fingers are common and can usually be reduced by simple traction. Occasionally reduction by closed methods is unsuccessful because of interposition of volar or dorsal soft tissue structures (Lamb 1981). This study reports three cases of compound dorsal dislocation of the proximal interphalangeal joint with volar soft tissue interposition. Such lesions are sparsely mentioned in text books on fractures and hand injuries and hitherto only a few cases have been published (Lamb 1981, Bunnell 1956).

OSTEOCHONDROMA PREVENTING CLOSED REDUCTION OF A PROXIMAL INTERPHALANGEAL DISLOCATION OF THE LITTLE FINGER

Hand Surgery ◽  
1998 ◽  
Vol 03 (02) ◽  
pp. 297-302
Author(s):  
K. Horiuchi ◽  
K. Yamauchi ◽  
M. Tanaka
Keyword(s):  
Case Report ◽  
Closed Reduction ◽  
Proximal Phalanx ◽  
Complete Recovery ◽  
Daily Activities ◽  
Joint Function ◽  
Collateral Ligament ◽  
Pip Joint ◽  
Little Finger

We present a case of a 21-year-old male patient who developed an osteochondroma at the neck of the proximal phalanx of the left little finger, which interfered with reduction of a dorsally dislocated PIP joint. This is the first such case report in the literature. At the time of surgery, we excised the osteochondroma and reconstructed the collateral ligament that produced locking of the PIP joint. This treatment brought a quick and essentially complete recovery of the PIP joint function. At 3 years follow-up in the affected digit, the patient has no limitations in daily activities.

Repair of a palmar soft tissue defect of the proximal interphalangeal joint with a transposition flap from the dorsum of the proximal phalanx

2011 ◽  
Vol 38 (4) ◽  
pp. 378-385 ◽  
Author(s):  
X. Zhang ◽  
X. Shao ◽  
M. Zhu ◽  
R. Jiang ◽  
Y. Feng ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Proximal Phalanx ◽  
Soft Tissue Defect ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Transposition Flap ◽  
Active Motion ◽  
Dorsal Branch ◽  
Pedicle Length ◽  
Distal Interphalangeal

This article describes the use of a transposition flap raised from the dorsum of the proximal phalanx for coverage of the volar defects at the proximal interphalangeal joint. The flap was based on the first dorsal branch of the proper digital artery. From January 2007 to March 2009, 14 digits in 14 patients (10 males and 4 females) were treated. There were 5 index, 6 middle, 2 ring, and 1 little finger. All patients underwent surgery 2–9 hours (mean 5 hours) after injury. Soft tissue defects ranged in size from 1.2 × 1.7 cm to 2.1 × 2.3 cm (mean 1.7 × 2 cm). Flap size ranged from 1.5 × 1.7 cm to 2.4 × 2.7 cm (mean 2 × 2.4 cm). Mean pedicle length was 1.1 cm (range 0.8–1.4 cm). All flaps completely survived. At final follow-up from 24–29 months (mean 26 months), mean active motion arcs of the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints were 84° (range 75–91°), 86° (range 65–100°) and 54° (range 32–80°), respectively. Our technique is useful and reliable for coverage of a palmar defect over the proximal interphalangeal joint.

TREATMENT OF CHRONIC POST-TRAUMATIC HYPEREXTENSION DEFORMITY OF PROXIMAL INTERPHALANGEAL JOINT USING THE SUTURE ANCHOR: A CASE REPORT

Hand Surgery ◽  
2007 ◽  
Vol 12 (01) ◽  
pp. 47-49 ◽  
Author(s):  
Yasuo Onishi ◽  
Hiroyuki Fujioka ◽  
Minoru Doita
Keyword(s):  
Suture Anchor ◽  
Proximal Phalanx ◽  
Attachment Site ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Suture Anchors ◽  
Acceptable Result ◽  
Pip Joint ◽  
Post Traumatic ◽  
Little Finger

We present a case of chronic post-traumatic hyperextension of the PIP joint of the little finger. The volar plate was reattached at the original attachment site of the proximal phalanx using two suture anchors and tenodesis of the radial half slip of the FDS tendon was added. An acceptable result was obtained.

scholarly journals Autologous Transplantation of the Interphalangeal Joint: A Case Report

2009 ◽  
Vol 17 (2) ◽  
pp. 238-239 ◽  
Author(s):  
Ali Zein ◽  
AA Alkhooly
Keyword(s):  
Case Report ◽  
Articular Cartilage ◽  
Range Of Motion ◽  
Pathological Fracture ◽  
Index Finger ◽  
Articular Surface ◽  
Autologous Transplantation ◽  
Proximal Phalanx ◽  
Interphalangeal Joint

A 35-year-old woman presented with a pathological fracture of a solitary cystic enchondroma in the proximal phalanx of her right index finger (extending to the articular surface with expansion of the cortex). The affected segment was excised and reconstructed with an autograft from the proximal phalanx of her right third toe. At the 2-year follow-up, the graft was well taken, the articular cartilage was intact, and the range of motion was good. There was no evidence of osteoarthrosis.

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