Ulnar Deviation After Volar Subluxation of the Proximal Interphalangeal Joint

Gotoh, Masafumi; Gotoh, Hiroshi; Shiba, Yoshito; Tamaki, Takashi; Hieda, Hiroshi

doi:10.1097/00003086-200110000-00020

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Cited by 5 publications

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“…10 , 15 , 16 Gotoh described a case of progressive ulnar deviation of the PIPJ after interposition of the radial collateral ligament. 17 In this case, they found that the ligament was ruptured but retained its insertion and was interposed into the PIPJ. The authors postulated that the cause of progressive ulnar deviation was scar tissue formation.…”

Section: Discussionmentioning

confidence: 79%

Irreducible Volar Subluxation of the Proximal Interphalangeal Joint Due to Radial Collateral Ligament Interposition: Case Report and Review of Literature

Tse

2015

Hand Surg.

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Irreducible volar subluxation should be considered when assessing a patient with flexion deformity of the proximal interphalangeal finger joint (PIPJ). Primary assessment requires careful examination of the collateral ligaments and extensor tendon. Preoperative imaging such as ultrasound and MRI can help identify the interposed structures and plan the subsequent operation. Although rare, irreducible volar subluxation due to radial collateral ligament interposition is an important entity to be aware of. Prompt and appropriate management can prevent joint stiffness and loss of function.

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Section: Discussionmentioning

confidence: 79%