Posterior Fracture Fracture Dislocation Dislocation Dr H.Saeed M.D. TUMS congress March 2010 Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran.

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Presentation transcript:

Posterior Fracture Fracture Dislocation Dislocation Dr H.Saeed M.D. TUMS congress March 2010 Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

anatomical and functional locus of finger function Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

3dLigament-box complex 3d Ligament-box complex Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

DorsalLateralvolar

Type I hyperextention Type II dorsal dislocation Type III fracture-dislocation

Type I Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

Type II Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

Type III Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

Type III  stable  unstable Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

Type III  stable Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

Type III  unstable Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

Active stability Passive stability Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

no more than one week immobilization Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

no more than 2-3 weeks immobilization Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

 Extension block splinting  Extension block pining  Dynamic skeletal traction  Open reduction and internal fixation  Hemihamate autograft  Volar plate arthroplasty Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

 Redisplacement  Angulation  Flexion contracture  DIP stiffness Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

PIP flexion contracture Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

Thank you for attention