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hand PIP JOINT

hand PIP JOINT. Posterior Fracture Dislocation Dr H.Saeed M.D. TUMS congress March 2010. PIP JOINT. anatomical and functional locus of finger function. Anatomy. Anatomy. 3d Ligament-box complex. Anatomy.

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hand PIP JOINT

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  1. hand PIP JOINT Posterior Fracture Dislocation Dr H.Saeed M.D. TUMS congress March 2010 Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  2. PIP JOINT anatomicalandfunctional locus of fingerfunction Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  3. Anatomy Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  4. Anatomy 3dLigament-boxcomplex Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  5. Anatomy Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  6. Dislocations Dorsal Lateral volar Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  7. DorsalDislocations Type I hyperextention Type II dorsaldislocation Type III fracture-dislocation Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  8. DorsalDislocations Type I Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  9. DorsalDislocations Type II Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  10. DorsalDislocations Type III Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  11. DorsalDislocations Type III • stable • unstable Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  12. DorsalDislocations Type III • stable Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  13. DorsalDislocations Type III • unstable Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  14. Clinical evaluation Activestability Passivestability Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  15. Radiographic evaluation Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  16. Treatment(type I) no more than one week immobilization Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  17. Treatment(type II) no more than 2-3 weeks immobilization Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  18. Treatment(type III-stable) Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  19. Treatment(type III-unstable) • Extension block splinting • Extension block pining • Dynamic skeletal traction • Open reduction and internal fixation • Hemihamateautograft • Volar plate arthroplasty Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  20. TreatmentExtension block splinting Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  21. TreatmentExtension block pining Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  22. TreatmentDynamic skeletal traction Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  23. TreatmentDynamic skeletal traction Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  24. TreatmentOpen reduction and internal fixation Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  25. TreatmentHemihamateautograft Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  26. TreatmentVolar plate arthroplasty Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  27. Complications • Redisplacement • Angulation • Flexion contracture • DIP stiffness Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  28. Outcome PIPflexioncontracture Posterior fx-dx of hand PIP joint , Dr H.Saeed M.D. ,Tehran POTA congress 2010

  29. Thank you for attention

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