Conservative Approach in An Intra-Articular PIPJoint Fracture Dislocation: A Clinical Case Report
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https://doi.org/10.14419/9kskdt54
Received date: July 23, 2025
Accepted date: August 30, 2025
Published date: September 8, 2025
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Intra-Articular Fracture; PIP Joint; Finger Fracture; Dorsal Extension Block Splinting; PIP Joint Rehabilitation -
Abstract
We report the case of a 25-year-old male who sustained an intra-articular fracture-dislocation of the proximal interphalangeal (PIP) joint of the ring finger during a cricket match. Despite being advised of surgical fixation, the patient opted for non-operative management. The fracture was treated using a dorsal extension block splint combined with early rehabilitation. Follow-up radiographs and clinical assessments demonstrated excellent joint stability, pain resolution, and full restoration of function. This case illustrates the viability of conservative treatment in select cases of PIP joint injuries, emphasizing appropriate fracture reduction, early mobilization, and a structured rehabilitation protocol.
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References
- Calfee, R. P., & Sommerkamp, T. G. (2009). Fracture–Dislocation About the Finger Joints. The Journal of Hand Surgery, 34(6), 1140–1147. https://doi.org/10.1016/j.jhsa.2009.04.023.
- Deitch, M. A., Kiefhaber, T. R., Comisar, B. R., & Stern, P. J. (1999). Dorsal fracture dislocations of the proximal interphalangeal joint: Surgical complications and long-term results. The Journal of Hand Surgery, 24(5), 914–923. https://doi.org/10.1053/jhsu.1999.0914.
- Elfar, J., & Mann, T. (2013). Fracture-dislocations of the proximal interphalangeal joint. The Journal of the American Academy of Orthopaedic Surgeons, 21(2), 88–98. https://doi.org/10.5435/JAAOS-21-02-88.
- Freiberg, A. (2007). Management of proximal interphalangeal joint injuries. Canadian Journal of Plastic Surgery, 15(4), 199–203. https://doi.org/10.1177/229255030701500407.
- Hamer, D. W., & Quinton, D. N. (1992). Dorsal Fracture Subluxation of the Proximal Interphalangeal Joints Treated by Extension Block Splintage. Journal of Hand Surgery, 17(5), 586–590. https://doi.org/10.1016/S0266-7681(05)80249-9.
- Kiefhaber, T. R., & Stern, P. J. (1998). Fracture dislocations of the proximal interphalangeal joint. The Journal of Hand Surgery, 23(3), 368–380. https://doi.org/10.1016/S0363-5023(05)80454-X.
- Mehta, V., & Phillips, C. S. (2005). Flexor Tendon Pulley Reconstruction. Hand Clinics, 21(2), 245–251. https://doi.org/10.1016/j.hcl.2004.12.002.
- Ouellette, E. A., & Freeland, A. E. (1996). Use of the Minicondylar Plate in Metacarpal and Phalangeal Fractures: Clinical Orthopaedics and Relat-ed Research, 327, 38–46. https://doi.org/10.1097/00003086-199606000-00007.
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Downloads
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How to Cite
Dholu, D. U., Solunke, D. S., Deshmukh, D. A., & Patil, D. A. (2025). Conservative Approach in An Intra-Articular PIPJoint Fracture Dislocation: A Clinical Case Report. International Journal of Basic and Applied Sciences, 14(5), 236-239. https://doi.org/10.14419/9kskdt54
