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Simultaneous Fracture-Dislocations of the Distal and Proximal Interphalangeal Joints

From the Department of Orthopaedic Surgery, Okayama University Medical School, Okayama, Japan

Correspondence: H. Hashizume MD, Department of Orthopaedic Surgery, Okayama University Medical School, 2-5-1 Shikata-cho, Okayama, Japan 700-8558. E-mail: hasizume{at}med.okayam-u.ac.jp

Sixteen cases of simultaneous fracture-dislocations of both the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints in the same finger that were treated during the past 10 years were classified into three types: the swan-neck injury (dorsal fragment of the base of the distal phalanx at the DIP joint and palmar fragment of the base of the middle phalanx at the PIP joint); the double-hyperextension injury (palmar fragments at the DIP and PIP joints); and the straight-finger injury (with dorsal and palmar bone fragments at the DIP joint). The results of treatment were more satisfactory in PIP joints than in DIP joints.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 6, 699-702 (1999)
DOI: 10.1054/JHSB.1999.0228


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