Management of proximal interphalangeal joint injuries

Injuries about the proximal interphalangeal joint are common problems seen by emergency physicians and hand surgeons. Inappropriate management of thes e injuries may result in chronic pain, stiffness, deformity, or premature d egenerative arthritis. The complex anatomy and biomechanics of this joint o ften make classification and management of proximal interphalangeal joint i njuries difficult. The surgical literature has tended to focus on specific types of proximal interphalangeal joint injuries, most often in the form of case reports. It is the purpose of this paper to bring together the findin gs of these reports in association with the senior author's experience. Emp hasis is placed on establishing both a precise anatomic diagnosis and a pro tocol for subsequent management so that appropriate treatment may be commen ced to prevent chronic disability. Ideal treatment necessitates the restora tion of a stable and congruent joint that will allow early mobilization.