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A Freiberg. Management of proximal interphalangeal joint injuries. Can J Plast Surg 2007;15(4):199-203. Injuries to the proximal interphalangeal joint are common but frequently missed. They are often overtreated by prolonged immobilization, resulting in stiffness, which may be permanent. The purpose of the present article is to briefly review the relevant anatomy and biomechanics, present an approach to physical examination and diagnosis, and propose a practical clinical classification. The treatment of the most severe injury -the intra-articular fracture dislocation -is controversial. The various treatment options are discussed, based on personal experience and a review of the literature. A list of relevant references is presented.Key Words: Management; Proximal interphalangeal joint injuries; Review of literature La prise en charge des lésions des articulations interphalangiennes proximalesLes lésions des articulations interphalangiennes proximales sont courantes, mais passent souvent inaperçues. Par ailleurs, elles sont souvent trop traitées par une immobilisation prolongée, ce qui provoque une raideur qui risque de devenir permanente. Le présent article vise à analyser brièvement l'anatomie et la biomécanique pertinentes, à présen-ter un mode d'examen physique et de diagnostic et à effectuer une classification clinique pratique. Le traitement de la lésion la plus grave, la fracture-luxation intra-articulaire, est controversé. On expose les diverses possibilités de traitement, d'après l'expérience personnelle et une analyse bibliographique. On présente également une liste de références pertinentes.

An 8-year survey of patient satisfaction in an academic aesthetic surgery clinic at the University of Toronto was carried out by means of a mailed questionnaire. A total of 265 questionnaires were mailed; 131 completed questionnaires (49.4 percent) were returned. Of these, 93.1 percent would recommend this clinic (88.1 percent in the first year of operation and 95.4 percent in the subsequent 7 years), and 92.9 percent would undergo the same procedure again, if required (88.3 percent in the first year and 95.0 percent in the next 7 years). The highest patient satisfaction (10 of 10) was seen in augmentation mammoplasty (average, 9.1); blepharoplasty (average, 9.0); rhytidectomy (average, 7.8), and rhinoplasty (average, 6.9). The results obtained compared favorably with recently published data of more experienced surgeons.