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Journal of Bone and Joint Surgery, 1972;54:1705-1711.
© 1972 by The Journal of Bone and Joint Surgery, Inc

Management of Fracture-Dislocation of the Proximal Interphalangeal Joints by Extension-Block Splinting

EDWARD C. MCELFRESH M.D.1, JAMES H. DOBYNS M.D.1, and EUGENE T. O'BRIEN 1

1 From the Mayo Clinic and Mayo Foundation, Rochester, and Wilford Hall United States Air Force Hospital, Lackland Air Force Base, Texas

A closed method is recommended for the treatment of a common injury of the proximal interphalangeal joint, a fracture of the articular surface of the middle phalanx with dorsal dislocation or subluxation. The method uses extension-block splinting (a forearm gauntlet with a dorsal extension along the finger) which allows early active flexion of the proximal interphalangeal joint but prevents extension beyond a predetermined point at which the joint subluxates on dislocates. The method is described and the results in seventeen patients are presented.


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