Article

The prognosis of isolated volar plate sprains of the proximal interphalangeal
(PIP) joint is related to the extension deficit. Some consider an associated
avulsion fracture as a sign of severity. The goal of this study was to find out
whether the outcomes of conservative treatment in PIP volar plate injury was
impacted by the presence of an avulsion fracture. Our series included 75
patients, 27 years old on average, of which 58 were men. All sprains were stable.
The X-rays were normal in 52 cases (group 1); an avulsion fracture was found in
23 cases (group 2). The patients were treated by buddy taping during the day and
a straight finger splint at night for 3 weeks. At the last follow-up, no
significant difference was found between the two groups regarding pain,
extension/flexion range of motion or edema. The results of this study show that
the prognosis of conservative treatment of PIP volar plate injuries does not
depend on the presence of an avulsion fracture.
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Langue : ANGLAIS