BOOK
Current Concepts in the Management of Proximal Interphalangeal Joint Disorders, An Issue of Hand Clinics, E-Book
(2018)
Additional Information
Book Details
Abstract
This issue of Hand Clinics, guest edited by series consulting editor Dr. Kevin Chung, will cover Current Concepts in the Management of Proximal Interphalangeal Joint Disorders. Topics discussed in the volume include: Anatomy and biomechanics of the finger proximal interphalangeal joint; Surgical exposure of the proximal interphalangeal joint; Treating proximal interphalangeal joint dislocations; Management of proximal interphalangeal joint fracture dislocations; Proximal interphalangeal joint fusion: indications and techniques; Implant arthroplasty: selection of exposure and implant; Salvaging a failed proximal interphalangeal joint implant; Treatment of proximal interphalangeal joint contracture; Treating congenital proximal interphalangeal joint contracture; Complications of proximal interphalangeal joint injuries: prevention and treatment; and Therapy concepts for the proximal interphalangeal joint, among others.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Current Concepts in the\rManagement of Proximal\rInterphalangeal Joint\rDisorders\r | i | ||
| Copyright | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Current Concepts in the Management of Proximal Interphalangeal Joint Disorders | vii | ||
| Anatomy and Biomechanics of the Finger Proximal Interphalangeal Joint | vii | ||
| Surgical Exposure of the Proximal Interphalangeal Joint | vii | ||
| Treating Proximal Interphalangeal Joint Dislocations | vii | ||
| Management of Proximal Interphalangeal Joint Fracture Dislocations | vii | ||
| Treating the Proximal Interphalangeal Joint in Swan Neck and Boutonniere Deformities | viii | ||
| Proximal Interphalangeal Joint Fusion: Indications and Techniques | viii | ||
| Advances in Proximal Interphalangeal Joint Arthroplasty: Biomechanics and Biomaterials | viii | ||
| Implant Arthroplasty: Selection of Exposure and Implant | viii | ||
| Microvascular Toe Joint for Proximal Interphalangeal Joint Replacement: Indications, Technique, and Outcomes | ix | ||
| Salvaging a Failed Proximal Interphalangeal Joint Implant | ix | ||
| Treatment of Proximal Interphalangeal Joint Contracture | ix | ||
| Treating Congenital Proximal Interphalangeal Joint Contracture | ix | ||
| Management of Flexor Pulley Injuries with Proximal Interphalangeal Joint Contracture | ix | ||
| Complications of Proximal Interphalangeal Joint Injuries: Prevention and Treatment | x | ||
| Therapy Concepts for the Proximal Interphalangeal Joint | x | ||
| HAND CLINICS | xi | ||
| FORTHCOMING ISSUES | xi | ||
| August 2018 | xi | ||
| November 2018 | xi | ||
| February 2019 | xi | ||
| RECENT ISSUES | xi | ||
| February 2018 | xi | ||
| November 2017 | xi | ||
| August 2017 | xi | ||
| Preface:\rCurrent Concepts in the Management of Proximal Interphalangeal Joint Disorders | xiii | ||
| Anatomy and Biomechanics of the Finger Proximal Interphalangeal Joint | 121 | ||
| Key points | 121 | ||
| INTRODUCTION | 121 | ||
| OSSEOUS ANATOMY | 121 | ||
| OSSEOUS MECHANICS | 122 | ||
| COLLATERAL LIGAMENT ANATOMY | 122 | ||
| PROPER COLLATERAL LIGAMENTS | 122 | ||
| ACCESSORY COLLATERAL LIGAMENTS | 123 | ||
| COLLATERAL LIGAMENT BIOMECHANICS | 123 | ||
| VOLAR PLATE | 124 | ||
| VOLAR PLATE BIOMECHANICS | 125 | ||
| INNERVATION | 125 | ||
| SUMMARY | 126 | ||
| REFERENCES | 126 | ||
| Surgical Exposure of the Proximal Interphalangeal Joint | 127 | ||
| Key points | 127 | ||
| INTRODUCTION | 127 | ||
| SURGICAL TECHNIQUE/PROCEDURE | 128 | ||
| Preoperative Planning | 128 | ||
| PREPARATION AND PATIENT POSITIONING | 128 | ||
| SURGICAL APPROACH | 128 | ||
| Volar | 128 | ||
| Approach | 128 | ||
| Step one | 128 | ||
| Step two | 129 | ||
| Step three | 129 | ||
| Step four | 129 | ||
| Closure | 129 | ||
| Step five | 129 | ||
| Step six | 129 | ||
| Step seven | 129 | ||
| Dorsal | 129 | ||
| Approach | 129 | ||
| Step one | 129 | ||
| Step two | 130 | ||
| Step three | 130 | ||
| Step four | 130 | ||
| Closure | 130 | ||
| Step five | 130 | ||
| Step six | 130 | ||
| Step seven | 130 | ||
| Lateral | 130 | ||
| Approach | 130 | ||
| Step one | 130 | ||
| Step two | 131 | ||
| Step three | 131 | ||
| Step four | 131 | ||
| Closure | 132 | ||
| Step five | 132 | ||
| Step six | 132 | ||
| Step seven | 132 | ||
| Chamay | 132 | ||
| Approach | 132 | ||
| Step one | 132 | ||
| Step two | 133 | ||
| Step three | 133 | ||
| Step four | 133 | ||
| Closure | 134 | ||
| Step five | 134 | ||
| Step six | 134 | ||
| Step seven | 134 | ||
| COMPLICATIONS AND MANAGEMENT | 134 | ||
| POSTOPERATIVE CARE | 134 | ||
| REHABILITATION PROTOCOLS | 135 | ||
| After Dorsal Approach | 136 | ||
| After Volar Approach | 136 | ||
| OUTCOMES | 137 | ||
| SUMMARY | 137 | ||
| REFERENCES | 138 | ||
| Treating Proximal Interphalangeal Joint Dislocations | 139 | ||
| Key points | 139 | ||
| INTRODUCTION | 139 | ||
| Epidemiology | 139 | ||
| Etiologic factors | 140 | ||
| TECHNIQUE: CLOSED REDUCTION OF THE PROXIMAL INTERPHALANGEAL JOINT | 141 | ||
| IRREDUCIBLE DISLOCATIONS OR BLOCK TO REDUCTION | 141 | ||
| REHABILITATION FOR CLOSED OR REDUCIBLE DISLOCATIONS | 142 | ||
| SEQUELAE | 143 | ||
| CHRONIC DISLOCATION AND INSTABILITY | 144 | ||
| SURGICAL TECHNIQUE: OPEN REDUCTION OF THE PROXIMAL INTERPHALANGEAL JOINT | 144 | ||
| Preoperative Planning | 144 | ||
| Patient Positioning | 144 | ||
| Surgical Approach | 144 | ||
| Open reduction for dorsal dislocation of the proximal interphalangeal joint: acute | 144 | ||
| Technique: reduction of chronic dorsal dislocation | 145 | ||
| SURGICAL TECHNIQUE: VOLAR PROXIMAL INTERPHALANGEAL JOINT DISLOCATIONS | 146 | ||
| Outcomes | 146 | ||
| SURGICAL TECHNIQUE: LATERAL PROXIMAL INTERPHALANGEAL JOINT DISLOCATIONS | 146 | ||
| Technique: Lateral Approach | 146 | ||
| SUMMARY | 147 | ||
| REFERENCES | 147 | ||
| Management of Proximal Interphalangeal Joint Fracture Dislocations | 149 | ||
| Key points | 149 | ||
| INTRODUCTION | 149 | ||
| ANATOMY | 150 | ||
| MECHANISM OF INJURY | 150 | ||
| Mechanism of Dorsal Fracture Dislocations | 150 | ||
| Mechanism of Volar Fracture Dislocations | 150 | ||
| Mechanism of Pilon Fractures | 151 | ||
| CLASSIFICATION | 151 | ||
| Classification of Dorsal Fracture Dislocations | 152 | ||
| Classification of Volar Fracture Dislocations | 152 | ||
| Classification of Pilon Fractures | 152 | ||
| EVALUATION | 152 | ||
| Radiographs | 152 | ||
| Advanced Imaging | 153 | ||
| Joint Reduction | 153 | ||
| Assessment of Stability | 153 | ||
| TREATMENT | 153 | ||
| Goals of Treatment | 153 | ||
| Treatment Algorithm | 154 | ||
| Treatment of Stable Dorsal Fracture Dislocations | 154 | ||
| Buddy taping | 154 | ||
| Treatment of Tenuous Dorsal Fracture Dislocations | 154 | ||
| Extension block splinting | 154 | ||
| Treatment of Unstable Dorsal Fracture Dislocations | 154 | ||
| Closed reduction and transarticular pinning | 154 | ||
| Closed reduction and percutaneous pinning | 154 | ||
| Dynamic external fixation | 157 | ||
| Open reduction and internal fixation with interfragmentary screws | 159 | ||
| Open reduction and internal fixation with plate and screws | 160 | ||
| Volar plate arthroplasty | 161 | ||
| Hemihamate autograft | 161 | ||
| Treatment of Volar Fracture Dislocations | 162 | ||
| Extension block splinting | 162 | ||
| Closed reduction and transarticular pinning | 163 | ||
| Dynamic external fixation | 163 | ||
| Open reduction and internal fixation with interfragmentary screws | 163 | ||
| Open reduction and internal fixation with plate and screws | 163 | ||
| Treatment of Pilon Fractures | 164 | ||
| SUMMARY | 164 | ||
| REFERENCES | 164 | ||
| Treating the Proximal Interphalangeal Joint in Swan Neck and Boutonniere Deformities | 167 | ||
| Key points | 167 | ||
| SWAN NECK DEFORMITIES | 167 | ||
| Introduction: Nature of the Problem | 167 | ||
| INDICATIONS/CONTRAINDICATIONS | 168 | ||
| SURGICAL TECHNIQUE/PROCEDURE | 168 | ||
| Preoperative Planning | 169 | ||
| Preparation and Patient Positioning | 169 | ||
| Surgical Approach | 170 | ||
| Surgical Procedure | 170 | ||
| COMPLICATIONS AND MANAGEMENT | 171 | ||
| Postoperative Care | 171 | ||
| Outcomes | 171 | ||
| BOUTONNIERE DEFORMITIES | 171 | ||
| Introduction: Nature of the Problem | 171 | ||
| Indications/Contraindications | 173 | ||
| Surgical Technique/Procedure | 173 | ||
| Preoperative Planning | 173 | ||
| Preparation and Patient Positioning | 173 | ||
| Surgical Approach | 173 | ||
| Surgical Procedure | 174 | ||
| Complications and Management | 174 | ||
| Postoperative Care | 175 | ||
| Outcomes | 175 | ||
| SUMMARY | 176 | ||
| REFERENCES | 176 | ||
| Proximal Interphalangeal Joint Fusion | 177 | ||
| Key points | 177 | ||
| INTRODUCTION | 177 | ||
| INDICATIONS AND CONTRAINDICATIONS | 178 | ||
| Indications | 178 | ||
| Contraindications | 178 | ||
| SURGICAL TECHNIQUE/PROCEDURE | 178 | ||
| Preoperative Planning | 178 | ||
| Preparation | 178 | ||
| Surgical Approach | 178 | ||
| Surgical Procedure | 179 | ||
| Tension band technique | 179 | ||
| Compression screw technique | 181 | ||
| Dorsal plate technique | 181 | ||
| 90/90 wiring technique | 181 | ||
| COMPLICATIONS AND MANAGEMENT | 181 | ||
| Management of Complications | 181 | ||
| POSTOPERATIVE CARE | 182 | ||
| OUTCOMES | 183 | ||
| SUMMARY | 183 | ||
| REFERENCES | 183 | ||
| Advances in Proximal Interphalangeal Joint Arthroplasty | 185 | ||
| Key points | 185 | ||
| INTRODUCTION | 185 | ||
| BIOMECHANICS | 185 | ||
| ARTHROPLASTY DESIGN | 187 | ||
| SILICONE ARTHROPLASTY | 188 | ||
| SURFACE REPLACEMENT ARTHROPLASTY | 190 | ||
| COBALT CHROMIUM AND ULTRAHIGH-MOLECULAR-WEIGHT POLYETHYLENE | 190 | ||
| PYROLYTIC CARBON | 191 | ||
| ACKNOWLEDGMENTS | 192 | ||
| REFERENCES | 192 | ||
| Implant Arthroplasty | 195 | ||
| Key points | 195 | ||
| INTRODUCTION | 195 | ||
| METAL HINGED IMPLANT ARTHROPLASTY | 195 | ||
| SILICONE ARTHROPLASTY | 196 | ||
| SURFACE REPLACEMENT ARTHROPLASTY | 199 | ||
| A SYSTEMATIC LITERATURE REVIEW FOR ARC OF MOTION, EXTENSION LAG, AND COMPLICATION | 201 | ||
| ARC OF MOTION | 202 | ||
| EXTENSION LAG | 202 | ||
| COMPLICATION | 202 | ||
| COMPARISON WITH OTHER JOINTS | 202 | ||
| SUMMARY | 203 | ||
| ACKNOWLEDGMENTS | 203 | ||
| REFERENCES | 203 | ||
| Microvascular Toe Joint for Proximal Interphalangeal Joint Replacement | 207 | ||
| Key points | 207 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 207 | ||
| INDICATIONS | 207 | ||
| CONTRAINDICATIONS | 208 | ||
| SURGICAL TECHNIQUE/PROCEDURE | 209 | ||
| COMPLICATIONS AND MANAGEMENT | 212 | ||
| POSTOPERATIVE CARE | 212 | ||
| OUTCOMES | 214 | ||
| CLINICAL CASE | 215 | ||
| SUMMARY | 216 | ||
| REFERENCES | 216 | ||
| Salvaging a Failed Proximal Interphalangeal Joint Implant | 217 | ||
| Key points | 217 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 217 | ||
| INDICATIONS/CONTRAINDICATIONS | 217 | ||
| Revision Implant Arthroplasty | 217 | ||
| Secondary Arthrodesis | 217 | ||
| SURGICAL TECHNIQUE/PROCEDURE | 218 | ||
| Preoperative Planning | 218 | ||
| Preparation and Patient Positioning | 218 | ||
| Surgical Approach | 218 | ||
| Surgical Procedure | 219 | ||
| Revising a silicone implant arthroplasty to a silicone arthroplasty | 219 | ||
| Revising a resurfacing implant arthroplasty to a silicone arthroplasty | 219 | ||
| Revising a silicone or resurfacing implant arthroplasty to a resurfacing arthroplasty | 221 | ||
| Revision surgery for swan-neck deformity | 221 | ||
| Secondary arthrodesis | 221 | ||
| COMPLICATIONS AND MANAGEMENT | 222 | ||
| Revision Implant Arthroplasty | 222 | ||
| Secondary Arthrodesis | 223 | ||
| POSTOPERATIVE CARE | 223 | ||
| Revision Implant Arthroplasty | 223 | ||
| Secondary Arthrodesis | 224 | ||
| OUTCOMES | 224 | ||
| Revision Implant Arthroplasty | 224 | ||
| Secondary Arthrodesis and Amputation | 225 | ||
| SUMMARY | 226 | ||
| REFERENCES | 226 | ||
| Treatment of Proximal Interphalangeal Joint Contracture | 229 | ||
| Key points | 229 | ||
| INTRODUCTION | 229 | ||
| ANATOMY | 229 | ||
| PATHOGENESIS | 230 | ||
| TREATMENT | 231 | ||
| Evaluation | 231 | ||
| Prevention | 231 | ||
| Nonsurgical Treatment | 231 | ||
| Surgical Treatment | 232 | ||
| SUMMARY | 233 | ||
| REFERENCES | 234 | ||
| Treating Congenital Proximal Interphalangeal Joint Contracture | 237 | ||
| Key points | 237 | ||
| CURRENT DEFINITION | 237 | ||
| CAUSE | 238 | ||
| CLINICAL PRESENTATION | 238 | ||
| CLASSIFICATION | 239 | ||
| INHERITANCE AND ASSOCIATED CONDITIONS | 240 | ||
| DIFFERENTIAL DIAGNOSIS | 240 | ||
| Traumatic Boutonniere Deformity | 240 | ||
| Dupuytren Contracture | 240 | ||
| Trigger Finger | 240 | ||
| Extensor Mechanism Absence | 240 | ||
| Arthrogryposis | 240 | ||
| PHYSICAL EXAMINATION | 240 | ||
| RADIOGRAPHIC FINDINGS | 241 | ||
| TREATMENT | 242 | ||
| Managing Patient Expectations | 242 | ||
| Nonoperative Treatment | 242 | ||
| Outcomes | 242 | ||
| Recommended protocol | 242 | ||
| Passive stretching | 242 | ||
| Active extensor strengthening | 243 | ||
| Nighttime static, progressive splint | 243 | ||
| Dynamic finger extension splint | 243 | ||
| Operative Treatment | 243 | ||
| Described surgical procedures | 243 | ||
| Indications | 243 | ||
| Outcomes | 244 | ||
| Recommended protocol | 245 | ||
| Preoperative planning | 245 | ||
| Operative technique | 245 | ||
| Postoperative protocol | 246 | ||
| Ten days postoperative | 246 | ||
| Four weeks postoperative | 248 | ||
| Six weeks postoperative | 248 | ||
| Twelve weeks postoperative | 248 | ||
| Final assessment | 248 | ||
| SUMMARY | 248 | ||
| REFERENCES | 248 | ||
| Management of Flexor Pulley Injuries with Proximal Interphalangeal Joint Contracture | 251 | ||
| Key points | 251 | ||
| INTRODUCTION | 251 | ||
| Anatomy | 251 | ||
| Function and Biomechanics | 251 | ||
| Management of Pulley Injuries | 252 | ||
| INDICATIONS | 253 | ||
| SURGICAL TECHNIQUE | 253 | ||
| Preoperative Planning | 253 | ||
| Preparation and Patient Positioning | 253 | ||
| Application of External Fixator Device | 253 | ||
| Posoperative Care | 253 | ||
| Postoperative Therapy | 253 | ||
| COMPLICATIONS AND MANAGEMENT | 257 | ||
| OUTCOMES | 257 | ||
| Representative Cases | 260 | ||
| Patient 1 | 260 | ||
| Patient 3 | 263 | ||
| SUMMARY | 265 | ||
| ACKNOWLEDGMENTS | 266 | ||
| REFERENCES | 266 | ||
| Complications of Proximal Interphalangeal Joint Injuries | 267 | ||
| Key points | 267 | ||
| RELEVANT ANATOMY | 268 | ||
| CLASSIFICATION OF PROXIMAL INTERPHALANGEAL JOINT INJURIES | 268 | ||
| Collateral Ligament Injuries | 268 | ||
| Proximal Phalanx Articular Fractures | 269 | ||
| Base of the Middle Phalanx Fractures | 269 | ||
| COMPLICATIONS OF PROXIMAL INTERPHALANGEAL JOINT INJURIES | 271 | ||
| JOINT STIFFNESS OR FLEXION CONTRACTURE | 271 | ||
| Clinical Evaluation | 271 | ||
| Prevention | 272 | ||
| Nonoperative Treatment | 272 | ||
| Surgical Treatment | 274 | ||
| Percutaneous surgical release | 274 | ||
| Open surgical release | 274 | ||
| Flexor tenolysis | 275 | ||
| Volar capsular release | 276 | ||
| Dynamic traction device application | 277 | ||
| EXTENSION CONTRACTURE | 278 | ||
| Prevention | 279 | ||
| Nonoperative Treatment | 279 | ||
| Surgical Treatment | 279 | ||
| Extensor tenolysis | 279 | ||
| Dorsal capsulotomy | 281 | ||
| RE-DISPLACEMENT AND RE-DISLOCATION | 281 | ||
| Prevention and Treatment | 281 | ||
| MALUNION | 282 | ||
| Prevention | 283 | ||
| SWAN-NECK DEFORMITY | 283 | ||
| Prevention | 284 | ||
| SUMMARY | 284 | ||
| ACKNOWLEDGMENTS | 284 | ||
| REFERENCES | 284 | ||
| Therapy Concepts for the Proximal Interphalangeal Joint | 289 | ||
| Key points | 289 | ||
| INTRODUCTION | 289 | ||
| PHASES OF HEALING | 289 | ||
| Inflammatory Phase | 289 | ||
| Fibroblastic Phase | 290 | ||
| Remodeling Phase | 290 | ||
| MOTION EXERCISES | 290 | ||
| ORTHOSES | 291 | ||
| Buddy Taping | 291 | ||
| Blocking Splints | 291 | ||
| Static Progressive/Serial Casting | 292 | ||
| Dynamic Splinting | 292 | ||
| WOUND MANAGEMENT | 293 | ||
| EDEMA CONTROL | 294 | ||
| DESENSITIZATION | 295 | ||
| MODALITIES | 295 | ||
| Cryotherapy | 295 | ||
| Heat Therapy | 295 | ||
| Ultrasound | 296 | ||
| Electrical Modalities | 296 | ||
| Fluidotherapy | 296 | ||
| Paraffin Therapy | 296 | ||
| Contrast Baths | 296 | ||
| Continuous Passive Motion | 297 | ||
| THE HAND THERAPIST, PHYSICIAN, AND PATIENT RELATIONSHIPS | 297 | ||
| SUMMARY | 297 | ||
| REFERENCES | 297 |