[Dorsal intra-articular end-phalangeal fractures].

Abstract

In a retrospective clinical study, thirty-six patients with a dorsal intraarticular fracture of the DIP-joint were examined. The fracture can be classified according to the size of the dorsal fragment as a mallet finger or as an intraarticular fracture with the tendency for dislocation. Subcutaneous tendon ruptures with a small dorsal fragment respond well to conservative treatment. Intraarticular fractures should be treated surgically. Anatomical reduction and joint stability are the treatment aims. In 21 patients, tension band wiring was performed, in eight cases percutaneous treatment with the "Hakendraht" was carried out.

• Authors: M Sauerbier, H Krimmer, P Hahn, U Lanz
• Journal: Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... (Handchir Mikrochir Plast Chir) Vol. 31 Issue 2 Pg. 82-7; discussion 87-9 (Mar 1999) ISSN: 0722-1819 [Print] Germany
• Vernacular Title: Dorsale intraartikuläre Endphalanxfrakturen.
• PMID: 10337551 (Publication Type: Journal Article)

Topics

• Bone Wires
• Finger Injuries (classification, diagnostic imaging, surgery)
• Finger Joint (diagnostic imaging, surgery)
• Follow-Up Studies
• Fracture Fixation, Internal
• Fracture Healing (physiology)
• Fractures, Bone (classification, diagnostic imaging, surgery)
• Humans
• Joint Instability (classification, diagnostic imaging, surgery)
• Postoperative Complications (diagnostic imaging)
• Radiography