Physical Address

304 North Cardinal St.
Dorchester Center, MA 02124

Skeletal Trauma of the Upper Extremity

  • Joined: February 29, 2024
  • Articles: 80

Technique Spotlight: ORIF vs. Extension Block Pinning vs. Dynamic External Fixation for Proximal Interphalangeal Joint Dislocations

Introduction This chapter will highlight three available techniques to achieve a stable proximal interphalangeal (PIP) joint after dislocation and fracture-dislocations: extension block pinning, open reduction internal fixation (ORIF) including hemihamate arthroplasty, and dynamic external fixation. Many other treatment options exist.…

Proximal Interphalangeal Joint Dislocations

Introduction Proximal interphalangeal (PIP) joint injuries are common and in spite of seemingly minor injuries, these can affect the overall hand function. Stiffness is common with these injuries and there is often permanent residual swelling, changing the size of the…

Phalanx Fractures

Introduction Fractures of the phalanges are common injuries, with reported rates of 340,000 per year. The majority occur following an accidental fall followed closely by injuries sustained after being struck by an object or person. While these are common injuries…

Metacarpophalangeal Joint Dislocations

Introduction Dislocations of the metacarpophalangeal (MCP) joint of the hand are caused by trauma to the hand, typically from a fall, with forced hyperextension of the joint. Athletes may more frequently sustain these injuries particularly in contact sports or ball-handling…

Metacarpal Fractures

Introduction The metacarpal bones make up the bony arch connecting the phalanges to the carpus and are one of the most commonly fractured bone in the hand. Knowledge of the unique metacarpal anatomy, musculotendinous attachments, and surrounding neurovascular structures can…

Perilunate and Lunate Dislocations

Introduction Perilunate injuries represent a challenge to the hand and wrist surgeon. Complex anatomy and kinematics, coupled with missed diagnoses and oft-delayed presentation, make the achievement of excellent outcomes difficult. It is our goal to present the essential information—anatomy, pathoanatomy,…