Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 May;34(2):229-235.
doi: 10.1016/j.hcl.2017.12.012.

Treatment of Proximal Interphalangeal Joint Contracture

Sami H Tuffaha  1 , W P Andrew Lee  2
Affiliations
Review

Treatment of Proximal Interphalangeal Joint Contracture

Sami H Tuffaha et al. Hand Clin. 2018 May.

Abstract

Proximal interphalangeal joint (PIPJ) flexion contracture is a challenging and often frustrating problem. Treatment of PIPJ contracture begins with conservative measures. With good compliance and prolonged use, favorable results can be achieved using these modalities. For contractures that fail to respond to conservative treatment, surgical intervention can be considered. The affected structures that can be released during surgery include the accessory collateral ligaments, volar plate, checkrein ligaments, retinacular ligaments, and the flexor and extensor tendons. A stepwise approach to release is typically favored in which active motion is tested after each release to determine the need for subsequent releases.

Keywords: Contracture; Contracture release; Dynamic splinting; Proximal interphalangeal joint; Serial splinting; Trauma.

PubMed Disclaimer