Unstable PIP Fracture-Dislocations

Dislocations of the Pip Joint

The mechanism of injury in dorsal dislocations is usually PIP joint hyperextension combined with some degree of longitudinal compression, which frequently occurs in ball-handling sports if the tip of the digit is hit with the ball. In the majority of cases, dorsal dislocation produces a soft tissue or bone injury to the distal insertions of the three-dimensional ligament-box complex. The greate...

Monteggia fracture-dislocations.

Monteggia fracture-dislocations remain a relatively uncommon injury. Prompt recognition of this injury is imperative. The character of the ulnar fracture is useful in determining optimal treatment. It is imperative to look for associated injuries of the radial head and coronoid, which alter the management and lead to altered outcomes.

Management of unstable elbows following complex fracture-dislocations--the "terrible triad" injury.

Dynamic External Fixation for Unstable Fracture-Dislocations and Pilon Fractures of the Proximal Interphalangeal Joint

Injuries to the proximal interphalangeal joint (PIPJ) of the fingers are common. They occur most often following an axial impact on an extended finger. Fractures of the proximal interphalangeal joint include a wide spectrum of injuries, from stable avulsion fractures to complex fracture-dislocations. Stability of the joint is paramount in determining the appropriate treatment, which should aim ...

Monteggia fracture-dislocations in children.

Thirty-three Monteggia fracture-dislocations occurring in patients aged 2 to 15 years were reviewed. A follow-up of 2 to 7 years in 25 patients revealed that 88% had good to excellent results and 12% had results which were fair or poor. Closed reduction was successful in 24 of 28 cases and appeared to be very effective. Open reduction was required only for older children or when treatment was b...