Facebook Linkedin YouTube Twitter Search

Orthopedic Miami Hand Surgeon, Shoulder, Wrist, Elbow

Badia Hand to Shoulder Center at Doral


BADIA HAND TO SHOULDER CENTER
Call (305) 227-4263
ENGLISH | ESPAÑOL
Request a Telemedicine e-Visit
  • About Us
    • BHS Center
      • BHS Team
      • BHS Fact Sheet
      • On Site Open MRI
      • OrthoNOW® Orthopedic Urgent Care
      • The Surgery Center at Doral
    • Dr. Badia
      • Dr. Badia Events
      • Seminar Courses
      • Medical Missions by Dr. Badia
      • Frequently Asked Questions
      • Resources
  • Patient Education
    • Patient Testimonials
    • Diagnosis and Definitions
    • Medical Animations
      • Shoulder SLAP Lesion Repair
    • Helpful Links
    • Infographics
  • Videos
    • Athletes
    • Shoulder Surgery Videos
    • Audio Files
    • Orthopedic Surgical Videos
    • Elbow Surgery Videos
    • Tenex FAST Procedure
    • Finger & Thumb Surgery Videos
    • Wrist Surgery Videos
    • Hand Surgery Videos
    • Dr. Badia in the Community
    • Medical Videos
    • TV Interviews Featuring Dr. Badia
  • Articles
    • Search Articles By Bodypart
      • Thumb Related Articles
      • Hand & Wrist Related Articles
      • Arm – Forearm Related Articles
      • Elbow Related Articles
      • Shoulder Related Articles
    • Country-Specific Articles
      • Argentina
      • Bahamas
      • Barbados
      • Bolivia
      • Brasil
      • Cayman Islands
    • [Column]
      • Curacao
      • Ecuador
      • El Salvador
      • Guatemala
      • Honduras
      • Jamaica
    • [Column]
      • Méjico
      • Panamá
      • Perú
      • República Dominicana
      • Trinidad and Tobago
      • Venezuela
  • Common Conditions
    • Carpal Tunnel Syndrome
    • Cubital Tunnel Syndrome
    • Trigger Finger
    • DeQuervain’s Tendinitis
    • Tennis Elbow (Lateral Epicondylitis)
    • Shoulder Injuries
    • Mallet Finger
    • Basal Joint Arthritis
  • International Patients
    • Sports Medicine in Medical Tourism
    • Orthopedic Surgery for the International Tourist Patient
    • Partner Hotels
    • Alternative Hotels for International Patients
    • Telemedicine Request with Dr. Alejandro Badia
    • Available Self-Pay Care Packages
  • News & Events
  • Contact Us
    • Request an Appointment with Dr. Badia
    • Patient Forms
    • Ask Dr. Badia
    • Subscribe to Mailing Lists
Meet our team »
Home » Dynamic Intra-Digital External Fixation for Proximal Interphalangeal Joint Fracture Dislocations

Dynamic Intra-Digital External Fixation for Proximal Interphalangeal Joint Fracture Dislocations

Posted on May 1, 2000 by Badia Hand to Shoulder Center

  • Fractures-Proximal-Phalanx-dr-Badia Fractures-Proximal-Phalanx-dr-Badia

Author:  Alejandro Badia, MD, F.A.C.S.

Download Article: 

Abstract
Many skeletal traction devices have been described to treat fracture-dislocations of the proximal interphalangeal (PIP) joint. Most of these techniques are technically challenging or involve cumbersome frames. A previously described simple dynamic fixator with no rubber bands was applied to seven patients who sustained fracture-dislocations of the PIP joint. The middle finger was involved in 3 patients, the ring in 3 and the small finger in 1. Average age was 28 years old (range: 21-42). Average follow-up was 30 months (range: 7 – 44 months). Immediate active flexion-extension was allowed and the fixator was removed between 3-4 weeks. The average range of motion of the PIP joint at final follow-up was 5∞ – 86∞ (range: 0∞ – 100∞). This excluded one patient who had severe intra-articular comminution and a floating PIP joint indicated for delayed fusion. Two patients developed pin tract infection that resolved with oral antibiotics. Proper reduction and congruency of the joint was noted on final AP and lateral radiographs. Only one patient complained of mild pain with extreme flexion. Although previously described, no further articles were present in the literature substantiating the initial experience. Based on our experience, we recommend this easy technique to treat fracture-dislocations of the PIP joint.

Introduction
Fracture-dislocations of the PIP joint are common injuries that can lead to stiffness, pain and post-traumatic arthritis when treated improperly. Treatment of these lesions is even harder with delayed presentation, when they have been mistaken as a “jammed finger”. Lateral deviation and rotation of this joint are minimized by its characteristic bony architecture 1-5. Soft tissue stability is given by the ulnar and radial collateral ligaments, the volar plate, dorsal capsule, lateral bands, extensor digitorum communis (EDC) and the flexor tendon sheath 4. The typical mechanism of injury for dorsal fracture-dislocations is a direct force applied to the fingertip with hyperextension and axial loading of the PIP joint that causes impaction of the volar articular lip of the middle phalanx against the condyles of the proximal phalanx 6,7. Dorsal fracture-dislocations are more common than volar 1, and are often seen in ball-handling athletes 8. Depending on the severity of the comminution and stability of the PIP joint, there is the option of treatment by closed versus surgical means. Involvement of the articular surface at the base of the middle phalanx is generally less than 40% in stable fractures and more than 40% in unstable injuries 3. Surgical treatment is required in the presence of unstable fracture-dislocations 3. Fractures with significant comminution or displacement of diepunch fragments are also indicated for operative treatment.


  • Personal Information
  • Date Format: MM slash DD slash YYYY
  • About Your Condition
  • Contact Information
  • Additional Information

Have a Question? Ask Dr. Badia »

Dr. Badia
REQUEST AN APPOINTMENT PATIENT TESTIMONIALS REVIEWS FROM FRIENDS MYRECOVERY APP

News & Events

dr badia 2019 antartica orthopeadic conference
Dr. Badia Invited as International Speaker for the 2019 Orthopaedic Conference & Expedition to Antartica
Orthopedic, Sports Medicine & Musculoskeletal Imaging Conference & Antarctica Expedition ‘Breaking the Ice’ Life is not measured by the number... Read More

 

Trusted by the Pros

tennis elbow injuries
Former World #1 Tennis Player Marcelo Rios Bilateral Tenex Elbow Procedure By Dr Alejandro Badia
"Without pain and without scars, and quick recovery." Newer techniques to treat “tennis elbow” injuries are always being refined at... Read More
Badia Hand to Shoulder Center
Badia Hand to Shoulder Center
4.8
powered by Google
Leonard Wolfson
Leonard Wolfson
19:42 04 Nov 19
Excellent visit. I injured my finger yesterday and was seen today by Dr. Badia. The staff was friendly and very efficient and the doctor spent more than enough time explaining what was going on and explaining my options. Truly a great experience.read more
Luisa Alfonso
Luisa Alfonso
16:25 06 Sep 19
The Dr and staff are professional and friendly. I’m happy I came here and I received the attention and answers I needed. I had injured my hand and I left the office feeling better. Thank you all for everything!!!read more
Robledo Aybar
Robledo Aybar
16:30 09 Aug 19
Due to a fall, I fractured my wrist in late Nov. 2018. Dr Badia and his team helped me overcome this issue and today I’m working, and back on my bike and running. The best service and experience!read more
Ellen Westbrook
Ellen Westbrook
23:08 29 Jul 19
Staff displayed professionalism and caring. Dr. Badia was as enthusiastic as I was about this surgery to improve the function of my hand. The surgical day process was smooth; I was kept informed every step of the way. I felt comfortable and safe.read more
victor mendelsohn
victor mendelsohn
02:37 30 May 19
From the first call I made to Dr. Badia‘s office I was impressed by the professionalism of the person who answered the phone. When I arrived at the office for my appointment I was once again greeted in a professional manner. This professionalism radiated through all of the team. I hadn’t seen Dr. Badia for over 10 years and he greeted me as if we’ve been in contact with each other for years.read more
Alexander Aguiar
Alexander Aguiar
18:19 24 Apr 19
From my first visit the staff as well as the Dr. Badia have been exceptionally professional and caring. I had an injury to my pinky finger, the required a placement of a rod in order to align. The surgery went well and was scheduled right away. The office staff has been amazing with scheduling and confirming appointments. Overall I am very happy with the care i received as well as the results. My finger healed and my range of motion has also gotten much better. Thank you Dr. Badiaread more
Next Reviews

Dr. Alejandro Badia
WORLDWIDE

Orthopedic Hand Surgeon
Please Call

305-227-HAND(4263)

Choose Your Country Page:

Have A Question Orthopedic Hand Surgery Miami Carpal Tunnel Syndrome Cure & Treatment Miami Dr. Alejandro Badia
Orthopedic Hand Surgeon
Please Call
305 227-HAND (4263)

REQUEST AN APPOINTMENT WITH
DR. ALEJANDRO BADIA

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

Are you an International Patient?
Flying to see Dr. Badia »

Dr. Badia
  • Miami Hand Surgeon
  • Alejandro Badia, M.D, F.A.C.S.
  • Miami Hand Surgery
  • BHSC Staff
  • Patient Testimonials
  • Patient Forms
  • Diagnosis and Definitions
  • MRI Machine On Site
  • International Patients
  • Arthroscopic Surgery
  • Appointments
  • Ask Dr. Badia
  • Orthopedic Surgery FAQ
  • Medical Videos
  • Surgical Videos
  • Surgical Articles
  • Arm – Forearm Surgery
  • Elbow Surgery
  • Hand & Wrist Surgery
  • Shoulder Surgery
  • Thumb Surgery
  • Dr Badia.TV
  • Dr. Badia En Español

 

Badia Hand to Shoulder Center

Complete Care of the Hand, Wrist, Elbow and Shoulder
in one Medical Facility
Dr. Alejandro Badia, M.D, F.A.C.S.
Past President ISSPORTH (2011-2013)

Our Office Hours:
Mondays to Fridays
Saturdays
Sundays
8:30 AM - 5:00 PM
Closed
Closed
Subscribe to Our Newsletter

305 227-HAND (4263)
3650 NW 82nd Ave. Suite 103
Doral, Florida 33166
Map It »

Facebook Linkedin YouTube Twitter

Privacy Policy – Legal Disclaimer
Badia Hand to Shoulder Center – All Rights Reserved

Website Optimized by Hispanic Market Advisors®