Executive Editor: Chris Colton

Authors: Fiesky Nuñez, Renato Fricker, Matej Kastelec, Terry Axelrod

Middle phalanx - PIP joint - volar plate avulsion

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Glossary

Aftertreatment

Aftertreatment should be performed under supervision of a hand therapist.
DIP and MCP joint movement is encouraged immediately to avoid extensor tendon adhesion and joint stiffness. If there is no transfixation of the PIP joint, active flexion of the PIP joint is initiated immediately postoperatively. A dorsal extension block splint at 30 degrees of flexion is used for 4 weeks.
A Coban bandage to reduce swelling is recommended.

Dynamic extension splinting
If after 5 weeks there is no full active extension, dynamic extension splinting is recommended.

The recovery process after such injuries is slow. Reassure the patient to expect 8-12 months to achieve the final result.

v1.0 2008-11-08