Treatment of Proximal Interphalangeal Joint Contracture

Sami H. Tuffaha, W. P.Andrew Lee

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Proximal interphalangeal joint (PIPJ) flexion contracture is a challenging and often frustrating problem. Treatment of PIPJ contracture begins with conservative measures. With good compliance and prolonged use, favorable results can be achieved using these modalities. For contractures that fail to respond to conservative treatment, surgical intervention can be considered. The affected structures that can be released during surgery include the accessory collateral ligaments, volar plate, checkrein ligaments, retinacular ligaments, and the flexor and extensor tendons. A stepwise approach to release is typically favored in which active motion is tested after each release to determine the need for subsequent releases.

Original languageEnglish (US)
Pages (from-to)229-235
Number of pages7
JournalHand clinics
Volume34
Issue number2
DOIs
StatePublished - May 2018
Externally publishedYes

Keywords

  • Contracture
  • Contracture release
  • Dynamic splinting
  • Proximal interphalangeal joint
  • Serial splinting
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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