Simultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach

Background:. Central slip and volar plate injuries rarely occur in the same finger, with only two cases previously reported in published literature. In these two patients, both teenagers, two highly distinct protocols were used. Here, we report a third case involving a 51-year-old gentleman who clos...

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Autores principales:	Ahmed S. Alotaibi, MBBS, Felwa A. AlMarshad, MBBS, Abdullah M. Alzahrani, MBBS, Mohanad O. Hossein, PT, Attiya Ijaz, MBBS, Zainab Ifthikar, MBBS, Abdulaziz T. Jarman, MBBS
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/9c6397ff62344f678a5573d28f3971bd
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spelling	oai:doaj.org-article:9c6397ff62344f678a5573d28f3971bd2021-11-25T07:58:04ZSimultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach2169-757410.1097/GOX.0000000000003923https://doaj.org/article/9c6397ff62344f678a5573d28f3971bd2021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003923https://doaj.org/toc/2169-7574Background:. Central slip and volar plate injuries rarely occur in the same finger, with only two cases previously reported in published literature. In these two patients, both teenagers, two highly distinct protocols were used. Here, we report a third case involving a 51-year-old gentleman who closed a door on his left third finger. Methods:. Because the fractures were noncomminuted and only minimally displaced, he was treated nonsurgically using a multi-step process of splinting to prevent impairment of either proximal interphalangeal joint extension or flexion, combined with active range of motion exercises. This included five weeks of splinting in neutral, 24-hour daily use of a proximal interphalangeal dorsal block, followed by active range of motion exercises combined with nocturnal splinting using a PIP volar block over the next 7 weeks, with relative motion and Joint Jack splints added over the final 4 of these 7 weeks. Results:. Twelve weeks after initial splinting, the patient’s finger was pain free, with swelling largely resolved, normal extension (−10 degrees) and near-normal flexion (95 degrees) achieved, and full function restored. The patient was very satisfied with the result. Conclusions:. Ours is just the third case of concomitant central slip and volar plate injuries reported in the literature. Other surgeons are strongly encouraged to publish similar cases, approaches, and results, as clinical wisdom can sometimes be gleaned from even a small number of well-documented clinical cases.Ahmed S. Alotaibi, MBBSFelwa A. AlMarshad, MBBSAbdullah M. Alzahrani, MBBSMohanad O. Hossein, PTAttiya Ijaz, MBBSZainab Ifthikar, MBBSAbdulaziz T. Jarman, MBBSWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3923 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Ahmed S. Alotaibi, MBBS Felwa A. AlMarshad, MBBS Abdullah M. Alzahrani, MBBS Mohanad O. Hossein, PT Attiya Ijaz, MBBS Zainab Ifthikar, MBBS Abdulaziz T. Jarman, MBBS Simultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach
description	Background:. Central slip and volar plate injuries rarely occur in the same finger, with only two cases previously reported in published literature. In these two patients, both teenagers, two highly distinct protocols were used. Here, we report a third case involving a 51-year-old gentleman who closed a door on his left third finger. Methods:. Because the fractures were noncomminuted and only minimally displaced, he was treated nonsurgically using a multi-step process of splinting to prevent impairment of either proximal interphalangeal joint extension or flexion, combined with active range of motion exercises. This included five weeks of splinting in neutral, 24-hour daily use of a proximal interphalangeal dorsal block, followed by active range of motion exercises combined with nocturnal splinting using a PIP volar block over the next 7 weeks, with relative motion and Joint Jack splints added over the final 4 of these 7 weeks. Results:. Twelve weeks after initial splinting, the patient’s finger was pain free, with swelling largely resolved, normal extension (−10 degrees) and near-normal flexion (95 degrees) achieved, and full function restored. The patient was very satisfied with the result. Conclusions:. Ours is just the third case of concomitant central slip and volar plate injuries reported in the literature. Other surgeons are strongly encouraged to publish similar cases, approaches, and results, as clinical wisdom can sometimes be gleaned from even a small number of well-documented clinical cases.
format	article
author	Ahmed S. Alotaibi, MBBS Felwa A. AlMarshad, MBBS Abdullah M. Alzahrani, MBBS Mohanad O. Hossein, PT Attiya Ijaz, MBBS Zainab Ifthikar, MBBS Abdulaziz T. Jarman, MBBS
author_facet	Ahmed S. Alotaibi, MBBS Felwa A. AlMarshad, MBBS Abdullah M. Alzahrani, MBBS Mohanad O. Hossein, PT Attiya Ijaz, MBBS Zainab Ifthikar, MBBS Abdulaziz T. Jarman, MBBS
author_sort	Ahmed S. Alotaibi, MBBS
title	Simultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach
title_short	Simultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach
title_full	Simultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach
title_fullStr	Simultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach
title_full_unstemmed	Simultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach
title_sort	simultaneous central slip and volar plate injuries at pip joint: a novel therapeutic approach
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/9c6397ff62344f678a5573d28f3971bd
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Simultaneous Central Slip and Volar Plate Injuries at PIP Joint: A Novel Therapeutic Approach

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