Displaced Fracture of Head of 4th Proximal Phalanx with Posterior Subluxation of PIP Joint and Disruption of Volar Plate: Eaton Grade 3: A Rare Case Report
Rajendra B. Uppin, Somanath T. Sanikop, Gangadhar B. Bhuti, Parth R. Patel
1,3Associate Professor, 2Associate Professor and Head, 4Post Graduate Student, Department of Orthopedics, Jawaharlal Nehru Medical College, KAHER Institute of Higher Education and Medical Research Centre, Belgavi 590010, Karnataka, India.
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Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. Unstable intra-articular proximal interphalangeal (PIP) joint fracture dislocations present a difficult problem that requires congruous joint reduction and stable internal fixation or distraction. Though fractures with limited articular involvement may be treated successfully with less invasive procedures, fracture dislocations with a volar shear component may benefit from joint reduction with subchondral support for maintenance of stability. The purpose of this article is to describe a volar screw technique and report the short term post-operative results. This treatment allows early active range of motion and provides good objective and subjective outcomes.
Corresponding Author : Rajendra B. Uppin, Associate Professor, Department of Orthopedics, Jawaharlal Nehru Medical College, KAHER Institute of Higher Education and Medical Research Centre, Belgavi 590010, Karnataka, India.
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