Finger traumaFinger trauma

Quiz 45/2/1387

24 y maleSport hand injuryWith painful stiff middle fingerXray was taken

Residents grade 2 & 3Residents grade 2 & 3

Explain the XrayWhat is the treatment of the patient ?What is the prognosis?

The patient was treated in a short arm splint for 3 weeks

X rays after one month and three months are as follow

After one month

3 months later

Clinical picture 3 months post injuy is as follow

3 m after injury

ROM of PIP and DIP is about 5-10 degrees

Residents grade 3 Residents grade 3

What are the options for treatment? (With references)

1 the first answer (acceptable)1 the best answer1 innovation

rz_kamrani@yahoo.com

PIP Close up one month

PIP Close up three months

Limited ROM three months after injury0-10 degrees

Volar app.

Proximal phalanx

Middle phalanxNormal articular surface

Middle phalanxTreamed articular surface

Distal hamate articular surface

Hamate

Middle Phalanx

Intra-operativeCarm control

Post-op◦Dorsal extension block◦Progressive extension of the PIP

One month post-op

After 4 months