The purpose of this report is to describe the management of a chronic proximal interphalangeal (PIP) joint @entity174 in a 46-year-old computer programmer. Twenty days following injury, a right ring finger volar plate arthroplasty was performed, loose @entity174 fragments were excised, and a Compass PIP joint hinge was applied. The hinge was locked at 10 degrees to 15 degrees extension and held in this position for 8 days. On postoperative day 8, hand therapy was initiated. Many challenges were encountered. Insurance constraints required the @entity1 to change therapists. The device frame cracked. The @entity1 developed a @entity1159 with extensor lag. Despite these obstacles, the @entity1 achieved a successful outcome, returning to normal @entity158 -free use with grip strength at 87% of that of the uninvolved hand. At discharge, active range of motion was 12 degrees/100 degrees at the PIP joint and 0 degrees/40 degrees at the @entity3130 joint. Passive extension was 0 degrees. At 6 months postoperatively, active range of motion was 0 degrees/105 degrees at the PIP joint and 0 degrees/60 degrees at the @entity3130 joint. This case demonstrates the need for closely supervised postoperative therapy that includes good communication between providers, ongoing @entity1 education, and close monitoring of range of motion.

Management of a proximal interphalangeal joint XXXX with a compass proximal interphalangeal joint hinge and therapy: a case report.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity3130 :: ('MESH:C562470', 'Disease') :: ['DIP'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture dislocation', 'fracture'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1159 :: ('MESH:D003286', 'Disease') :: ['PIP joint contracture']
@entity174 :: (MESH:D050723,Disease) :: ['fracture dislocation']
