Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniques
Avulsions of the volar plate of the finger proximal interphalangeal joint (PIPJ) following sprains are often undiagnosed in the acute setting. Therefore, the chronic outcomes of this injury are most frequently the object of study and treatment. Different techniques for volar plate chronic avulsion...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Open Medical Publishing
2021-03-01
|
Series: | Orthopedic Reviews |
Subjects: | |
Online Access: | https://www.pagepress.org/journals/index.php/or/article/view/9058 |
id |
doaj-8bbf18dff3fc48919f64b1bde8a60a43 |
---|---|
record_format |
Article |
spelling |
doaj-8bbf18dff3fc48919f64b1bde8a60a432021-05-03T04:52:31ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642021-03-0113110.4081/or.2021.9058Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniquesDaniele Caviglia0Gianluca Ciolli1Camillo Fulchignoni2Lorenzo Rocchi3Orthopaedics and Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome; Università Cattolica del Sacro Cuore, RomeOrthopaedics and Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome; Università Cattolica del Sacro Cuore, RomeOrthopaedics and Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome; Università Cattolica del Sacro Cuore, RomeOrthopaedics and Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome; Università Cattolica del Sacro Cuore, Rome Avulsions of the volar plate of the finger proximal interphalangeal joint (PIPJ) following sprains are often undiagnosed in the acute setting. Therefore, the chronic outcomes of this injury are most frequently the object of study and treatment. Different techniques for volar plate chronic avulsion repair are described in the literature. The most used among these are mainly two: the direct suturing with or without the use of bone anchors and the tenodesis techniques with flexor digitalis superficialis (FDS). The aim of this systematic review is to determine outcomes and complications associated with these surgical treatments of post-traumatic volar plate avulsions without phalangeal fractures. An electronic literature research was carried out and pertinent articles were selected. Surgical techniques details, outcomes and complications for direct sutures and tenodesis technique are discussed. Outcomes (Range of motion and pain) seem to be comparable, whereas authors that use the direct suture technique describe more frequently PIPJ flexion contracture complication. From this review of the literature, authors believe that both techniques are available for the repair of chronic injuries of the volar plate of the PIPJ, although direct suturing can be considered as less reproducible. https://www.pagepress.org/journals/index.php/or/article/view/9058Volar plateProximal interphalangeal jointAvulsionDirect sutureTenodesis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Daniele Caviglia Gianluca Ciolli Camillo Fulchignoni Lorenzo Rocchi |
spellingShingle |
Daniele Caviglia Gianluca Ciolli Camillo Fulchignoni Lorenzo Rocchi Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniques Orthopedic Reviews Volar plate Proximal interphalangeal joint Avulsion Direct suture Tenodesis |
author_facet |
Daniele Caviglia Gianluca Ciolli Camillo Fulchignoni Lorenzo Rocchi |
author_sort |
Daniele Caviglia |
title |
Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniques |
title_short |
Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniques |
title_full |
Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniques |
title_fullStr |
Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniques |
title_full_unstemmed |
Chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: A literature review of different surgical techniques |
title_sort |
chronic post-traumatic volar plate avulsions of the finger proximal interphalangeal joint: a literature review of different surgical techniques |
publisher |
Open Medical Publishing |
series |
Orthopedic Reviews |
issn |
2035-8237 2035-8164 |
publishDate |
2021-03-01 |
description |
Avulsions of the volar plate of the finger proximal interphalangeal joint (PIPJ) following sprains are often undiagnosed in the acute setting. Therefore, the chronic outcomes of this injury are most frequently the object of study and treatment. Different techniques for volar plate chronic avulsion repair are described in the literature. The most used among these are mainly two: the direct suturing with or without the use of bone anchors and the tenodesis techniques with flexor digitalis superficialis (FDS). The aim of this systematic review is to determine outcomes and complications associated with these surgical treatments of post-traumatic volar plate avulsions without phalangeal fractures. An electronic literature research was carried out and pertinent articles were selected. Surgical techniques details, outcomes and complications for direct sutures and tenodesis technique are discussed. Outcomes (Range of motion and pain) seem to be comparable, whereas authors that use the direct suture technique describe more frequently PIPJ flexion contracture complication. From this review of the literature, authors believe that both techniques are available for the repair of chronic injuries of the volar plate of the PIPJ, although direct suturing can be considered as less reproducible.
|
topic |
Volar plate Proximal interphalangeal joint Avulsion Direct suture Tenodesis |
url |
https://www.pagepress.org/journals/index.php/or/article/view/9058 |
work_keys_str_mv |
AT danielecaviglia chronicposttraumaticvolarplateavulsionsofthefingerproximalinterphalangealjointaliteraturereviewofdifferentsurgicaltechniques AT gianlucaciolli chronicposttraumaticvolarplateavulsionsofthefingerproximalinterphalangealjointaliteraturereviewofdifferentsurgicaltechniques AT camillofulchignoni chronicposttraumaticvolarplateavulsionsofthefingerproximalinterphalangealjointaliteraturereviewofdifferentsurgicaltechniques AT lorenzorocchi chronicposttraumaticvolarplateavulsionsofthefingerproximalinterphalangealjointaliteraturereviewofdifferentsurgicaltechniques |
_version_ |
1721483552597475328 |