Management of Proximal Interphalangeal Joint Injuries

Injuries about the proximal interphalangeal joint are common problems seen by emergency physicians and hand surgeons.Inappropriate management of these injuries may result in chronic pain, stiffness, deformity, or premature degenerative arthritis. The complex anatomy and biomechanics of this joint often make classification and management of proximal interphalangeal joint injuries difficult. The surgical literature has tended to focus on specific types of proximal interphalangeal joint injuries, most often in the form of case reports. It is the purpose of this paper to bring together the findings of these reports in association with the senior author's experience. Emphasis is placed on establishing both a precise anatomic diagnosis and a protocol for subsequent management so that appropriate treatment may be commenced to prevent chronic disability. Ideal treatment necessitates the restoration of a stable and congruent joint that will allow early mobilization.