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The proximal interphalangeal PIP joints are the middle knuckles of the fingers the thumb does not have a PIP joint. Editor's Top Picks. Hand Pain and Rheumatoid Arthritis RA Hand Rheumatoid Arthritis RA Signs and Symptoms. Treatments for Rheumatoid Arthritis RA in Hands. Proximal interphalangeal joints of the hand. The proximal interphalangeal PIP joints of the fingers are extremely important for gripping things with hands, more specifically, what is called the ‘power’ grip. Being a hinge joint, the joint’s articular surface and soft tissue do not permit any lateral movement. 03/06/2019 · In cases of a mild, passively correctable swan-neck or boutonnière deformity in combination with destruction of the PIP joint, a dorsal approach is essential for joint replacement. Careful attention should be paid to the cause of the swan-neck deformity, as this is very often found at a different level from the PIP joint. Proximal Interphalangeal Joint Injuries PIPJ PIPJ injuries are common and may lead to significant pain, stiffness, instability and degenerative arthritis. Ideal treatment involves achieving a stable congruent joint with early motion. Anatomy. Hinge joint surrounded and stabilized by. PIP Proximal Interphalangeal Joint Fusion. Edited by Robert Leland, MD. Indication. The PIP is the first joint of the small toes. The indication for surgery is when this joint has a fixed curved Clawtoe or Hammer Toe deformity and when the deformity is producing enough pain.

The proximal interphalangeal PIP joint is the most frequently injured of all the joints in the fingers, with injuries ranging from mild sprains to complete ligament ruptures and joint dislocations. PIP joint sprains are fairly common, and the mechanism of injury is usually either hyperextension or a laterally deviating force to the fingertip. Open Reduction and Internal Fixation of Proximal Interphalangeal Joint Fracture-Dislocations Nikhil Oak Brian Najarian Jeffrey Lawton DEFINITION Proximal interphalangeal PIP joint fracture-dislocations are intra-articular injuries that include a concomitant soft tissue injury to the surrounding capsular and ligamentous structures. The injury. 47 Dorsal Dislocations of the Proximal Interphalangeal Joint Rosa L. Dell’Oca and Amy Ladd History and Clinical Presentation A 40-year-old right hand dominant mechanic presented with a painfully swollen incongruent proximal interphalangeal PIP joint of his right index finger after a tire exploded while he was increasing the air pressure. Proximal Interphalangeal PIP Joint Injuries Houston TX Dr. Jeffrey E. Budoff M.D. 713-800-1120 6560 Fannin, Suite 1016 Houston, Texas 77030. One such injury is a sprain of the proximal interphalangeal joint, or PIP joint, of the finger. This joint is one of the most unforgiving joints in the body to injury. What appears at first to be a simple sprain of the PIP joint may result in a painful and stiff finger, making it difficult to use the hand for gripping activities.

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