In the name of God.

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Presentation transcript:

In the name of God

PIP Fracture Dislocation A. Zarezadeh MD Ordibehesht -1394 Isfahan

Case 1: Age: 24 Gender: male Chief complaint: acute pain, deformity and swelling History: acute injury while playing football

Mechanism? Classification? Treatment? Complications?

Case 2 Age: 19 Gender: male Chief complaint: acute pain, deformity and swelling History: Sport injury

Mechanism? Classification? Treatment? Complications?

Classification (Hastings)

Treatment:

Case 3 Age: 27 Gender: male Chief complaint: acute pain, deformity and swelling History: finger trauma

Mechanism? Treatment? Complications?

Case 4 Age: 23 Gender: female Chief complaint: acute pain, deformity and swelling History: finger trauma

Mechanism? Treatment? Complications?

Case 5 Age: 29 Gender: male Chief complaint: acute pain, deformity and swelling History: fighting

Mechanism? Classification? Treatment?

Case 6 Age: 35 Gender: male Chief complaint: acute pain, deformity and swelling History: volleyball trauma

Mechanism? Treatment? Complications?

Treatment:

Treatment Options: Close Reduction and Extension Block Splinting Close Reduction and Extension Block Pinning Close Reduction and Traction Open Reduction and Volar Plate Arthroplasty Open Reduction and Internal Fixation Open Reduction and Hemi-hamate Autografting

Complications: Chronic swelling Flexion contraction Stiffness Swan-neck deformity Subluxation Re-dislocation Pin tract infection Boutonniere deformity