Abstract
Pediatric proximal interphalangeal joint dislocations occur infrequently in comparison to pediatric finger fractures secondary to the anatomy of the skeletally immature hand. Although majority of pediatric PIP joint dislocations can be successfully treated with closed reduction, more complex or unstable injuries (crush injuries, fracture-dislocations) may require open reduction and fixation for improved stability. Closed treatment in children may warrant sedation in addition to a local anesthetic. Outcomes following reduction are generally favorable with stiffness occurring more commonly following a volar PIP dislocation than a dorsal dislocation. Complications include persistent instability, stiffness, and premature physeal closure.
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Abbreviations
- PIP:
-
Proximal interphalangeal
- MCP:
-
Metacarpophalangeal
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Fishman, F.G. (2016). Pediatric PIP Joint Injuries. In: Adams, J. (eds) PIP Joint Fracture Dislocations. Springer, Cham. https://doi.org/10.1007/978-3-319-28579-5_14
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DOI: https://doi.org/10.1007/978-3-319-28579-5_14
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