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Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction – a case report

Year 2015, Volume: 49 Issue: 6, 701 - 705, 28.10.2015

Jae Jung Jeong Young Yul Kim Jong Hun Ji Sang Eun Park

Abstract

Chronic proximal interphalangeal joint (PIPJ) instability of the finger is rare, and when it occurs usually requires surgical reconstruction. Complications arising from failed ligament reconstruction may result in a situation more difficult to address than the initial reconstruction. This situation is more likely for the finger than other orthopaedic reconstructions because the phalangeal bones are so small. We present a case of chronic radial PIPJ instability of the finger and severe bony defect caused by multiple failed ligament reconstructions that was treated successfully using a modification of the bone-ligament-bone graft technique.

 

DOI: 10.3944/AOTT.2015.14.0028

Keywords

BLB graft; chronic PIPJ instability; complication; revision.

References

  • McCue FC, Honner R, Johnson MC, Gieck JH. Athletic injuries of the proximal interphalangeal joint requiring surgical treatment. J Bone Joint Surg Am 1970;52:937-56.
  • Lane CS. Reconstruction of the unstable proximal in- terphalangeal joint: The double superficialis tenodesis. J Hand Surg Am 1978;3:368-9.
  • Adams Jp. Correction of chronic dorsal subluxation of the proximal interphalangeal joint by means of a criss-cross volar graft. J Bone Joint Surg Am 1959;41-A:111-5.
  • Kleınert He, Kasdan Ml. Reconstruction Of Chronically Subluxated Proximal Interphalangeal Finger Joint. J Bone Joint Surg Am 1965;47:958-64.
  • Rodriguez AL. Injuries to the collateral ligaments of the proximal interphalangeal joints. Hand 1973;5:55-7.
  • Ahmed HA, Goldie BS. Proximal interphalangeal joint instability: a dynamic technique for stabilization. J Hand Surg Br 2002;27:354-5.
  • Wu WC, Wong TC, Yip TH. Chronic finger joint insta- bility reconstructed with bone-ligament-bone graft from the iliac crest. J Hand Surg Br 2004;29:494-501.
  • Bailie DS, Benson LS, Marymont JV. Proximal interpha- langeal joint injuries of the hand. Part I: anatomy and di- agnosis. Am J Orthop (Belle Mead NJ) 1996;25:474-7.
  • Redler I, Williams JT. Rupture of a collateral ligament of the proximal interphalangeal joint of the fingers. Analysis of eighteen cases. J Bone Joint Surg Am 1967;49:322-6.
  • Benson LS, Bailie DS. Proximal interphalangeal joint in- juries of the hand. Part II: Treatment and complications. Am J Orthop (Belle Mead NJ) 1996;25:527-30.
  • Freiberg A, Pollard BA, Macdonald MR, Duncan MJ. Management of proximal interphalangeal joint injuries. Hand Clin 2006;22:235-42.
  • Patel S, Potty A, Taylor EJ, Sorene ED. Collateral ligament injuries of the metacarpophalangeal joint of the thumb: a treatment algorithm. Strategies Trauma Limb Reconstr 2010;5:1-10.
  • Rhee PC, Jones DB, Kakar S. Management of thumb metacarpophalangeal ulnar collateral ligament injuries. J Bone Joint Surg Am 2012;94:2005-12.
  • Rhee PC, Kakar S. Chronic thumb metacarpophalangeal joint ulnar collateral ligament insufficiency. J Hand Surg Am 2012;37:346-9.
  • Guelmi K, Thébaud A, Werther JR, Candelier G, Barbato B, Doursounian L. Bone-retinaculum-bone reconstruc- tion for chronic posttraumatic instability of the meta- carpophalangeal joint of the thumb. J Hand Surg Am 2003;28:685-95.
  • Wong TC,Ip FK,Wu WC.Bone-periosteum-bone graft reconstruction for chronic ulnar instability of the metacar- pophalangeal joint of the thumb-minimum 5-year follow- up evaluation. J Hand Surg Am 2009;34:304-8.

Year 2015, Volume: 49 Issue: 6, 701 - 705, 28.10.2015

Jae Jung Jeong Young Yul Kim Jong Hun Ji Sang Eun Park

Abstract

References

  • McCue FC, Honner R, Johnson MC, Gieck JH. Athletic injuries of the proximal interphalangeal joint requiring surgical treatment. J Bone Joint Surg Am 1970;52:937-56.
  • Lane CS. Reconstruction of the unstable proximal in- terphalangeal joint: The double superficialis tenodesis. J Hand Surg Am 1978;3:368-9.
  • Adams Jp. Correction of chronic dorsal subluxation of the proximal interphalangeal joint by means of a criss-cross volar graft. J Bone Joint Surg Am 1959;41-A:111-5.
  • Kleınert He, Kasdan Ml. Reconstruction Of Chronically Subluxated Proximal Interphalangeal Finger Joint. J Bone Joint Surg Am 1965;47:958-64.
  • Rodriguez AL. Injuries to the collateral ligaments of the proximal interphalangeal joints. Hand 1973;5:55-7.
  • Ahmed HA, Goldie BS. Proximal interphalangeal joint instability: a dynamic technique for stabilization. J Hand Surg Br 2002;27:354-5.
  • Wu WC, Wong TC, Yip TH. Chronic finger joint insta- bility reconstructed with bone-ligament-bone graft from the iliac crest. J Hand Surg Br 2004;29:494-501.
  • Bailie DS, Benson LS, Marymont JV. Proximal interpha- langeal joint injuries of the hand. Part I: anatomy and di- agnosis. Am J Orthop (Belle Mead NJ) 1996;25:474-7.
  • Redler I, Williams JT. Rupture of a collateral ligament of the proximal interphalangeal joint of the fingers. Analysis of eighteen cases. J Bone Joint Surg Am 1967;49:322-6.
  • Benson LS, Bailie DS. Proximal interphalangeal joint in- juries of the hand. Part II: Treatment and complications. Am J Orthop (Belle Mead NJ) 1996;25:527-30.
  • Freiberg A, Pollard BA, Macdonald MR, Duncan MJ. Management of proximal interphalangeal joint injuries. Hand Clin 2006;22:235-42.
  • Patel S, Potty A, Taylor EJ, Sorene ED. Collateral ligament injuries of the metacarpophalangeal joint of the thumb: a treatment algorithm. Strategies Trauma Limb Reconstr 2010;5:1-10.
  • Rhee PC, Jones DB, Kakar S. Management of thumb metacarpophalangeal ulnar collateral ligament injuries. J Bone Joint Surg Am 2012;94:2005-12.
  • Rhee PC, Kakar S. Chronic thumb metacarpophalangeal joint ulnar collateral ligament insufficiency. J Hand Surg Am 2012;37:346-9.
  • Guelmi K, Thébaud A, Werther JR, Candelier G, Barbato B, Doursounian L. Bone-retinaculum-bone reconstruc- tion for chronic posttraumatic instability of the meta- carpophalangeal joint of the thumb. J Hand Surg Am 2003;28:685-95.
  • Wong TC,Ip FK,Wu WC.Bone-periosteum-bone graft reconstruction for chronic ulnar instability of the metacar- pophalangeal joint of the thumb-minimum 5-year follow- up evaluation. J Hand Surg Am 2009;34:304-8.
There are 16 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Jae Jung Jeong This is me

Young Yul Kim This is me

Jong Hun Ji This is me

Sang Eun Park This is me

Publication Date October 28, 2015
Published in Issue Year 2015 Volume: 49 Issue: 6

Cite

APA Jeong, J. J., Kim, Y. Y., Ji, J. H., Park, S. E. (2015). Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction – a case report. Acta Orthopaedica Et Traumatologica Turcica, 49(6), 701-705. https://doi.org/10.3944/AOTT.2015.14.0028
AMA Jeong JJ, Kim YY, Ji JH, Park SE. Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction – a case report. Acta Orthopaedica et Traumatologica Turcica. October 2015;49(6):701-705. doi:10.3944/AOTT.2015.14.0028
Chicago Jeong, Jae Jung, Young Yul Kim, Jong Hun Ji, and Sang Eun Park. “Radial Collateral Ligament Reconstruction of the Proximal Interphalangeal Joint of a Finger With Severe Bony Defect: Revising a Failed Ligament Reconstruction – a Case Report”. Acta Orthopaedica Et Traumatologica Turcica 49, no. 6 (October 2015): 701-5. https://doi.org/10.3944/AOTT.2015.14.0028.
EndNote Jeong JJ, Kim YY, Ji JH, Park SE (October 1, 2015) Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction – a case report. Acta Orthopaedica et Traumatologica Turcica 49 6 701–705.
IEEE J. J. Jeong, Y. Y. Kim, J. H. Ji, and S. E. Park, “Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction – a case report”, Acta Orthopaedica et Traumatologica Turcica, vol. 49, no. 6, pp. 701–705, 2015, doi: 10.3944/AOTT.2015.14.0028.
ISNAD Jeong, Jae Jung et al. “Radial Collateral Ligament Reconstruction of the Proximal Interphalangeal Joint of a Finger With Severe Bony Defect: Revising a Failed Ligament Reconstruction – a Case Report”. Acta Orthopaedica et Traumatologica Turcica 49/6 (October 2015), 701-705. https://doi.org/10.3944/AOTT.2015.14.0028.
JAMA Jeong JJ, Kim YY, Ji JH, Park SE. Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction – a case report. Acta Orthopaedica et Traumatologica Turcica. 2015;49:701–705.
MLA Jeong, Jae Jung et al. “Radial Collateral Ligament Reconstruction of the Proximal Interphalangeal Joint of a Finger With Severe Bony Defect: Revising a Failed Ligament Reconstruction – a Case Report”. Acta Orthopaedica Et Traumatologica Turcica, vol. 49, no. 6, 2015, pp. 701-5, doi:10.3944/AOTT.2015.14.0028.
Vancouver Jeong JJ, Kim YY, Ji JH, Park SE. Radial collateral ligament reconstruction of the proximal interphalangeal joint of a finger with severe bony defect: revising a failed ligament reconstruction – a case report. Acta Orthopaedica et Traumatologica Turcica. 2015;49(6):701-5.