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
Clinical picture 3 months post injuy is as follow
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
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PIP Close up three months
Limited ROM three months after injury0-10 degrees
Proximal phalanx
Middle phalanxNormal articular surface
Middle phalanxTreamed articular surface
Distal hamate articular surface
Intra-operativeCarm control
Post-op◦Dorsal extension block◦Progressive extension of the PIP