Fracture–luxation complexe de l’articulation interphalangienne proximale. À propos d’un cas et mise au point sur les fractures–luxations palmaires interphalangiennes proximales |
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| Institution: | 1. Centre SOS main de l’est parisien, clinique La Francilienne, 16, avenue de l’Hôtel-de-Ville, 77340 Pontault-Combault, France;2. Clinique universitaire de traumatologie-orthopédie et de chirurgie réparatrice, CNHU-HKM, Cotonou, Bénin;3. Centre de chirurgie de la main paris-ouest, clinique de La Montagne, 53, rue Victor-Hugo, 92400 Courbevoie, France;1. Service de chirurgie orthopédique et traumatologique, CHU de Rouen, 1, rue de Germont, 76000 Rouen, France;2. Service de chirurgie orthopédique et traumatologique, centre hospitalier de Dieppe, avenue Pasteur, 76202 Dieppe, France;3. Service de chirurgie plastique, reconstructrice et de la main, CHU de Rouen, 1, rue de Germont, 76000 Rouen, France;1. Service d’orthopédie A, CHU de Lille, rue du Pr-Emile-Laine, 59037 Lille cedex, France;2. Service de radiologie et imagerie musculo-squelettique, CHU de Lille, rue du Pr-Emile-Laine, 59037 Lille cedex, France;1. Department of Orthopaedic Surgery, Holbæk Hospital, Smedelundsgade 60, 4300 Holbæk, Denmark;2. Department of Radiology, Holbæk Hospital, Smedelundsgade 60, 4300 Holbæk, Denmark;1. Service COT, hôpital Central, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France;2. Service ATOL, hôpital Central, 29, avenue de Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France |
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| Abstract: | The palmar fracture-dislocation of the proximal interphalangeal (PIP) joint of fingers is an uncommon injury. We report a complex form in a 16-year old teenager, associating a palmar fracture-dislocation and a fracture of the base of the middle phalanx with the dorsal fragment dislocated between the neck of the proximal phalange and the palmar plate. The management was surgical with open reduction and fixation of the fragments by K-wires and temporary PIP arthrorisis. The result at 6 months of follow- up after removal of the wires and physiotherapy was satisfactory. The patient was painless with a range of motion of 115°. Clinically, the sagittal and frontal stability of the joint both in flexion and extension was maintained. Osseous healing was obtained on X-ray control. The patient went back to his usual activities. A focus on palmar fracture-dislocations of PIP joint is presented through incidence, mechanism and treatment. |
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| Keywords: | Fracture-dislocation Proximal interphalangeal Palmar Complex |
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