Julie E. Adams Editor PIP Joint Fracture Dislocations A Clinical Casebook 123 PIP Joint Fracture Dislocations Julie E. Adams Editor PIP Joint Fracture Dislocations A Clinical Casebook Editor Julie E. Adams Mayo Clinic Austin , MN , USA ISBN 978-3-319-28577-1 ISBN 978-3-319-28579-5 (eBook) DOI 10.1007/978-3-319-28579-5 Library of Congress Control Number: 2016935288 © Springer International Publishing Switzerland 2016 T his work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland Pref ace P roximal interphalangeal (PIP) joint injuries are common and often unrecognized or unappreciated by the patient or physician. It is important to be able to distinguish between stable, unstable, and tenuous lesions and to understand and appreciate the various options and principles of treatment. T his clinical casebook is a practical handbook that addresses PIP joint injuries and explores principles of treatment. Some of the more common clinical scenarios that may be encountered are described. The book provides a framework for the practicing hand therapist, physician, or surgeon to understand these injuries and choose between treatment options and therapy regimens in order to lead to optimal outcomes. Attention to a stepwise surgical and rehabilitation program is provided. C hapter topics were chosen to cover the most common and useful areas of pathology and treatment that the surgeon, physician, or thera- pist may encounter. Chapters are framed in terms of practical princi- ples and case examples to enhance understanding and provide useful guidance to the clinician. Each chapter is designed to highlight clini- cal pearls and pitfalls and to help the clinician avoid complications and improve outcomes. Expert authors were hand-selected by the editor; these experts were specifically chosen for their expertise and experience in surgery and rehabilitation and their ability to write clear and concise value-packed chapters. v vi Preface It is my hope that PIP Fracture Dislocations: A Clinical Casebook becomes a frequently referenced guide for practicing clinicians and residents, fellows, or students who are interested in a practical appre- ciation of the issues associated with PIP joint injuries. To that end, I would like to thank the expert authors who have generously contrib- uted to this volume and shared their experience and expertise and who have made my job as editor easy and fun and the fantastic work of Patrick Carr (Springer Developmental Editor) and Kristopher Spring (Springer Publishing Editor) in keeping the work on track and bring- ing it to fruition. I would also like to thank my husband Scott and our daughter Sarah for their patience and unwavering support. Austin, MN, USA Julie E. Adams, M.D. Contents 1 Dorsal Fracture Dislocations: Biomechanics and Management Principles ........................................ 1 Brandon S. Smetana and Reid W. Draeger 2 Dorsal Block Splinting for Dorsal Fracture-Dislocations .................................................... 19 C. Liam Dwyer , Scott W. Rogers , Alex J. Ferikes , John D. Lubahn , Terri L. Wolfe , and Katie Froehlich 3 Dorsal Block Pinning .................................................... 31 Erica J. Gauger and Julie E. Adams 4 Proximal Interphalangeal Joint Fracture-Dislocations: Closed Reduction Internal Fixation ........................................................... 43 Mark A. Vitale and Robert J. Strauch 5 External Fixation of PIP Joint Dorsal Fracture-Dislocations .................................................... 57 Stephanie Sweet and Lawrence E. Weiss 6 Use of Force Couple Devices for Treatment of PIP Fracture-Dislocations ........................................ 73 Maureen O’Shaughnessy and Marco Rizzo vii viii Contents 7 ORIF with Screw Fixation ........................................... 85 Chris Lincoski 8 Volar Plate Arthroplasty ............................................... 93 O. Alton Barron and Daniel S. Donovan 9 Pilon Fracture of the Proximal Interphalangeal Joint: Use of a Combination of Fixation Techniques .................................................. 111 Elspeth Kinnucan 10 Hemi-hamate Arthroplasty .......................................... 125 Agnes Z. Dardas and Ryan P. Calfee 11 Condylar Replacement Arthroplasty and Other PIP Autografts ............................................ 141 John R. Lien and T. Greg Sommerkamp 12 Joint Replacement Arthroplasty: Is It Ever Indicated in PIP Joint Fracture-Dislocations? ........... 155 H.L. Baltzer and Steven L. Moran 13 PIP Fusion ..................................................................... 171 Sidney M. Jacoby and Michael P. Gaspar 14 Pediatric PIP Joint Injuries ......................................... 187 Felicity G. Fishman 15 Nonoperative Treatment of Volar PIP Joint Fracture Dislocations .................................................................... 197 Alex J. Ferikes , Scott W. Rogers , C. Liam Dwyer , John D. Lubahn , Terri L. Wolfe , and Katie Froehlich 16 Operative Treatment of Volar PIP Joint Fracture- Dislocations .......................................... 211 Lawrence E. Weiss and Stephanie Sweet Index ....................................................................................... 223 Contributors Julie E. Adams , MD Mayo Clinic , Austin , MN , USA H. L. Baltzer , MD, FRCS(C) Division of Plastic and Reconstructive Surgery , University of Toronto , Toronto , ON , Canada O. Alton Barron , MD D epartment of Orthopedics, CV Starr Hand Surgery Center, Mt. Sinai—Roosevelt Hospital , Mt. Sinai Icahn School of Medicine , New York , NY , USA Ryan P. Calfee , MD, MSc Department of Orthopedic Surgery , Washington University School of Medicine , St. Louis , MO , USA Agnes Z. Dardas , BA Department of Orthopedic Surgery , Washington University School of Medicine , St. Louis , MO , USA Daniel S. Donovan , MD Department of Orthopaedic Surgery , Mt. Sinai-St. Luke’s Roosevelt , New York , NY , USA Reid W. Draeger , MD Department of Orthopaedics , University of North Carolina , Chapel Hill , NC , USA C. Liam Dwyer , MD Department of Orthopaedic Surgery , UPMC Hamot , Erie , PA , USA Alex J. Ferikes , MD Department of Orthopaedic Surgery , UPMC Hamot , Erie , PA , USA Felicity G. Fishman , MD Yale Orthopaedics and Rehabilitation , New Haven , CT , USA ix