hand pip joint

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Posterior Posterior Fracture Fracture Dislocation 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

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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. - PowerPoint PPT Presentation

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Page 1: hand  PIP  JOINT

Posterior Posterior Fracture Fracture Dislocation 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

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anatomical and functional locus of

finger function

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

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

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3d3d Ligament-boxLigament-box complexcomplex

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

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

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DorsalDorsal

LateralLateral

volarvolar

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

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Type I Type I hyperextentionhyperextention

Type II Type II dorsaldorsal dislocationdislocation

Type III Type III fracture-dislocationfracture-dislocation

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

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Type I Type I

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

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Type II Type II

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

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Type III Type III

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

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Type III Type III stable stable

unstableunstable

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

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Type III Type III stable stable

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

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Type III Type III unstableunstable

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

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Active stability

Passive stability

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

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

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no more than one week

immobilization

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

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no more than 2-3 weeks

immobilization

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

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

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Extension block splinting

Extension block pining

Dynamic skeletal traction

Open reduction and internal fixation

Hemihamate autograft

Volar plate arthroplasty

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

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

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

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

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

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

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

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

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Redisplacement

Angulation

Flexion contracture

DIP stiffness

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

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PIP flexion contracture

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

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Thank you for attention