Universität zu Köln

Unglaub, F., Langer, M. F., Hahn, P., Mueller, L. P., Ahrens, C. and Spies, C. K. (2016). Fractures of the proximal interphalangeal joint. Diagnostic and operative therapy options. Unfallchirurg, 119 (2). S. 133 - 144. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

Joint fractures of the fingers often entail operative interventions in contrast to extra-articular fractures. These types of fracture are inclined to dislocate in addition to the actual fracture. The proximal interphalangeal (PIP) joint in particular often shows comminuted fractures due to the long leverage of the finger and a relatively small diameter of the joint. The clinical examination, X-ray diagnostics and if necessary computed tomography allow the classification into stable and unstable fractures. Unstable fractures must be treated by surgical reduction and fixation. A multitude of operative techniques are available for these mostly complicated fractures. The foremost goal is a stable osteosynthesis of the fracture with repositioning of the dislocation, which enables early physiotherapy in order to prevent tendon adhesion and contracture. This article presents the different types of PIP joint fractures, their specific surgical treatment and postoperative treatment regimens.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Langer, M. F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hahn, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ahrens, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-285546
DOI:	10.1007/s00113-016-0142-z
Journal or Publication Title:	Unfallchirurg
Volume:	119
Number:	2
Page Range:	S. 133 - 144
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language FIXATION; DISLOCATION; PHALANX; SCREW Multiple languages Emergency Medicine; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28554