Case Report: Bridge Plating for Unstable PIP Fracture Dislocation

摘要

Proximal interphalangeal (PIP) fracture-dislocation is a relatively common injury that results from “jamming” a finger. Treatment hinges on the degree of articular surface involvement, which determines stability of the joint. For unstable injuries, a variety of surgical interventions have been described including extension block pinning, open reduction internal fixation, volar plate arthroplasty, static or dynamic external fixation, and hemi-hamate reconstruction. We present the case of an unstable, subacute ring finger PIP dorsal fracture dislocation for which the above options were not possible or desirable to the patient.