What is included in the treatment of PIP fracture dislocations during the maintenance phase?

Updated: Jan 18, 2018
  • Author: Jay E Bowen, DO; Chief Editor: Craig C Young, MD  more...
  • Print
Answer

PIP motion is initiated, but significant hyperextension of the joint may injure healing tissues. An additional extension block splint prevents the final 30° of extension while allowing joint flexion. The ideal case for extension block splinting is when there is some collateral ligament restraint remaining on the major fragment. Therefore, a fracture involving less than 40% of the articular surface is preferred for extension block splinting. Lateral radiographs must be monitored to ensure that subtle subluxation is not present and that dorsal joint surfaces are reduced adequately.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!