BACKGROUND: The authors delineate a subgroup of proximal interphalangeal joint injuries with @entity1118 and limitation of movement, despite a stable joint, and describe and evaluate a surgical procedure. METHODS: Through a volar approach, the volar plate is freed from scar but remains connected on either the ulnar or radial border. A new connection to the middle phalanx is established by creating a bony groove, and the volar plate is loosely attached distally. Fifty-four joints with chronic @entity155 injuries of the proximal interphalangeal joint were evaluated. All @entity1 had @entity1118 and limitation of motion and function in a stable and congruent joint. @entity1 were examined at 6 weeks, 3 months, and 1 year after surgery. Range of motion, grip strength, and @entity158 were evaluated. The average time to surgery was 10.5 +/- 11.8 months (range, 2 to 65.4 months). The mean postoperative follow-up period was 10.0 +/- 12.8 months (range, 3 to 73.5 months). RESULTS: All @entity1 had an improved range of motion following surgery. The difference from the preoperative range of motion was statistically significant (p < 0.0001). None of the @entity1 reported @entity158 on rest after surgery, and five @entity1 reported activity @entity158 . The mean grip strength was 32.4 +/- 13.4 kg for hand that had been operated on and 41.0 +/- 14 kg for the hand that had not been operated on. CONCLUSIONS: This technique for repair of chronic @entity155 injuries allows early motion and results in significant improvement in range of motion, @entity158 , and overall function in this subgroup of @entity1 .

A technique for the repair of chronic XXXX of the proximal interphalangeal joint: a review of 54 cases.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1118 :: ('MESH:D059350', 'Disease') :: ['chronic pain'] @entity155 :: ('MESH:D014084', 'Disease') :: ['volar plate avulsion']
@entity155 :: (MESH:D014084,Disease) :: ['volar plate avulsion']
