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Ten patients who had sustained 11 unstable dorsal fracture-dislocations of finger proximal interphalangeal joints were reviewed at a mean follow-up of 16 years. All had been treated acutely by closed reduction and transarticular Kirschner wire fixation of the proximal interphalangeal joint, without any attempt at reduction of the fracture of the base of the middle phalanx, which probably involved...
We describe the case of a 53-year-old man who presented with a three-year history of a mass gradually increasing in size at the MTP joint of the left hallux. Core biopsy and FNA appearances were consistent with giant cell tumour of tendon sheath. Treatment was by excision in toto. The patient made a good postoperative recovery. There have been no signs of early recurrence and full function of the...
Five patients under 4 years of age with 180° rotational deformity of a proximal phalangeal neck fracture are described. All cases resulted from a direct shear force to the bone coupled with a sharp withdrawal reaction of the hand. All of the children were successfully treated with open reduction and internal fixation but only after fruitless attempts at closed manipulation and an initial lack of recognition...
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