Treatment of intra-articular fractures and fracture-dislocations fingers of the wrist in acute and long-distant periods

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Abstract

This review is devoted to the problem of treating patients with intra-articular fracture dislocations affecting the finger proximal interphalangeal joint and their consequences. Although these traumas are quite common among hand injuries, there is currently no single universal approach to their treatment. The review was conducted using literature databases, PubMed and eLibrary. The work highlights the joint anatomy, injury mechanisms, diagnostic methods, classification variations, and treatment methods.

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About the authors

Igor O. Golubev

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: iog305@mail.ru
ORCID iD: 0000-0002-1291-5094
SPIN-code: 2090-0471

MD, Dr. Sci. (Med.), Traumatologist-Orthopedist

Russian Federation, Moscow

Maksim V. Merkulov

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: merkulovmv@cito-priorov.ru
ORCID iD: 0009-0004-9362-3449
SPIN-code: 4695-3570

MD, Dr. Sci. (Med.), Traumatologist-Orthopedist

Russian Federation, Moscow

Vasily D. Kuznetsov

Priorov National Medical Research Center of Traumatology and Orthopedics

Author for correspondence.
Email: dr.kuznetsovvd@gmail.com
ORCID iD: 0000-0003-1745-8010
SPIN-code: 4093-7566

Post-Graduate Student, Traumatologist-Orthopedist

Russian Federation, Moscow

O. M. Bushuev

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: bushuevom@cito-priorov.ru
ORCID iD: 0009-0002-0051-2666
SPIN-code: 9793-5486

MD, Cand. Sci. (Med.), Traumatologist-Orthopedist

Russian Federation, Moscow

Il'ya A. Kutepov

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: kutepovia@cito-priorov.ru
ORCID iD: 0009-0001-3802-2577
SPIN-code: 6598-7387

MD, Cand. Sci. (Med.), Traumatologist-Orthopedist

Russian Federation, Moscow

Grigoriy G. Baliura

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: balyuragg@cito-priorov.ru
ORCID iD: 0000-0002-1656-1406
SPIN-code: 6581-4371

MD, Cand. Sci. (Med.), Traumatologist-Orthopedist

Russian Federation, Moscow

References

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Supplementary files

Supplementary Files
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2. Fig. 1. Anatomy of the proximal interphalangeal joint [3].

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3. Fig. 2. Anatomy of the proximal interphalangeal joint (continued) [11].

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4. Fig. 3. Anatomy of the proximal interphalangeal joint (ending) [11].

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5. Fig. 4. Schematic diagram of the base of the middle palmar edge phalanx fractured-dislocation injury mechanism.

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6. Fig. 5. Signs of proximal interphalangeal joint fracture-dislocation [3].

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7. Fig. 6. Radiologic signs of fracture-dislocation. V-sign [7].

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8. Fig. 7. Kiefhaber-Stern classification [6].

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9. Fig. 8. Eaton classification.

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10. Fig. 9. SCARF classification [18].

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11. Fig. 10. Orthotization options [7, 12, 22].

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12. Fig. 11. Osteosynthesis with spokes [20].

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13. Fig. 12. Intramedullary blocking spoke [5].

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14. Fig. 13. Osteosynthesis with screws. a — intra-articular fracture of the back edge of the base of the middle phalanx, b, c — osteosynthesis of a fragment of the middle phalanx with screws [7].

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15. Fig. 14. Osteosynthesis with a plate [7].

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16. Fig. 15. Variation of external fixation devices [3].

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17. Fig. 16. Fixation in the Suzuki apparatus.

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18. Fig. 17. Stages of hemiarthroplasty.

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