The proximal interphalangeal joint volar plate. II: A clinical study of hyperextension injury

Bowers, William H.

doi:10.1016/s0363-5023(81)80016-0

Cited by 61 publications

(36 citation statements)

References 10 publications

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“…The fact that an avulsion fracture is not always associated with hyperextension instability is confirmed by the findings of Bowers et al, and Bowers and Hill (1,2). By experimental sequential sectioning of the volar capsule they showed that the main static resistance to hyperextension is given by the confluent distal lateral insertion of the volar plate-collateral ligament complex.…”

Section: Discussionmentioning

confidence: 78%

“…Fick in 1904 (2) was the first to describe the volar plate, and later the complex anatomy and pathology of the region was described by Gad (5) and Bowers et al (1). In 1953 Moberg and Stener described the triad sign as a characteristic feature of the volar plate lesion (6); extension and flexion of the joint are painful at the site of the lesion, whereas there is no pain in the intermediate position.…”

mentioning

confidence: 99%

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Hyperextension Injury to the PIP Joint or to the MP Joint of the Thumb - a Clinical Study

Jespersen

Nielsen

Bonnevie

et al. 1998

Scandinavian Journal of Plastic and Reconstructive Surgery and

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We present a prospective study of the diagnosis and clinical course of 60 patients with 57 pure hyperextension injuries to the proximal interphalangeal (PIP) joint of the long fingers (fingers 2-5) and seven injuries to the metacarpophalangeal (MP) joint of the thumb. Thirty four of the injuries (57%) were related to ball sports, and the ulnar fingers of the non-dominant hand were usually affected. There were 24 avulsion fractures at the site of the insertion of the volar plate on to the middle phalanx. Twelve (20%) initially presented with hyperextension instability, and this was usually associated with an avulsion fracture. Thirty four of the patients (57%) had symptoms for less than one month, while 10 (17%) complained of symptoms six months after the injury. Severe complications such as daily pain and stiffness were encountered in three cases. The triad sign (pain on extreme flexion and extension) was of no use as a diagnostic or prognostic factor, nor did the radiographic stress-view help to identify acute instability of the joint.

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Section: Discussionmentioning

confidence: 78%

mentioning

confidence: 99%

Hyperextension Injury to the PIP Joint or to the MP Joint of the Thumb - a Clinical Study

Jespersen

Nielsen

Bonnevie

et al. 1998

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…Articular-based procedures to address traumatic, refractory hyperextension instability of the PIP joint include direct repair of the volar plate [4,15,16,[19][20][21]27], superficialis tenodesis [6,12,15,19,20,26], fascial or tendon graft bridging of the joint [1], and collateral ligament advancement [3,11]. The joint must be supple and the articulating surfaces in reasonably good condition for a soft-tissue rebalancing operation; otherwise, PIP joint arthroplasty or fusion may be indicated.…”

Section: Discussionmentioning

confidence: 99%

Double Lateral Band Transfer for Treatment of Traumatic Hyperextension Instability of the Proximal Interphalangeal Joint: A Report of Two Cases

Kalainov

Hsu³

et al. 2011

Hand (New York, N,Y.)

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Post-traumatic hyperextension instability of the proximal interphalangeal joint may lead to pain, difficulty with initiating finger flexion, and a swan-neck deformity. Most techniques to correct a traumatic hyperextension deformity of the proximal interphalangeal joint require a window in the flexor retinaculum, retraction of the flexor tendons, and manipulation of the joint capsule with a conceivable potential for joint stiffness, tendon adhesions, and tendon bowstringing. We describe an extra-articular lateral band transfer technique that utilizes strips of both lateral bands and preserves the functional integrity of the flexor tendon sheath.

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“…PP has a major role in joint stability by maintaining static resistance against hyperextension forces (Kaplan, 1957;Bowers, 1981). Also it provides stability against lateral displacement and torsional forces supported laterally by collateral ligaments (Bowers et al, 1980; fibrocartilaginous material in reconstruction of joints in palmar plate arthroplasty (PPA) (Tupper, 1989;Deitch et al, 1999;Dionysian and Eaton, 2000;Gotze and Jensen, 2000), in belt loop technique of pulley reconstruction (Karev et al, 1987;Lin et al, 1990), and in radial collateral ligament reconstruction (Kleinert and Sunil, 2005).…”

Section: Introductionmentioning

confidence: 99%

Morphometric analysis of metacarpophalangeal and proximal interphalangeal palmar plates

et al. 2008

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Palmar plates are being used as a source of graft in radial or ulnar collateral ligament reconstruction, pulley reconstruction, and volar plate arthroplasty. The purpose of this study is to determine morphometric and major histological differences of palmar plates in metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints among fingers, and supply sufficient data which would be useful in reconstruction procedures. Ninety-six MCP and 96 PIP palmar plates of 12 well-preserved formalin-fixed cadavers were measured focusing on their length, width, central thickness, and lateral thickness and statistically analyzed using ANOVA. Randomized three male and three female cadavers' specimens were examined histologically after staining with Masson's trichrome. For central thickness of the PIP joint level, there was significant difference among fingers, caused by the middle and little fingers. For lateral thickness of the PIP joint level, there was significant difference which was originated from little fingers. MCP palmar plates were significantly thicker than PIP joint levels for most of the fingers. There were thicker and denser collagen bands in MCP than PIP palmar plates. The relation of size-related parameters was not close with the thickness parameters. The predicted sizes and thicknesses of palmar plates vary according to fingers. The data collected for each finger in this study should be used as a guide in reconstructive procedures that use palmar plates as source of graft.

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The proximal interphalangeal joint volar plate. II: A clinical study of hyperextension injury

Cited by 61 publications

References 10 publications

Hyperextension Injury to the PIP Joint or to the MP Joint of the Thumb - a Clinical Study

Hyperextension Injury to the PIP Joint or to the MP Joint of the Thumb - a Clinical Study

Double Lateral Band Transfer for Treatment of Traumatic Hyperextension Instability of the Proximal Interphalangeal Joint: A Report of Two Cases

Morphometric analysis of metacarpophalangeal and proximal interphalangeal palmar plates

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