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DOI: 10.1055/s-0044-1793921
Treatment of Sagittal Plane Instability of the Proximal Interphalangeal Joint: Ultrasound-Guided Volar Plate Scarification Technique
Article in several languages: español | English
Abstract
Introduction Laxity in the volar plate of the proximal interphalangeal joint can result in sagittal plane instability due to its incompetence, accompanied by digital hyperextension with dorsal subluxation, loss of functionality, and pain.
Objectives Present a series of cases of patients with sagittal instability of the volar plate of the proximal interphalangeal plate treated with a minimally invasive surgical technique and evaluate the short and medium-term results.
Material and Methods Patients treated with a minimally invasive surgical technique involving ultrasound-guided scarification of the volar plate for the treatment of laxity in the proximal interphalangeal joint that leads to hyperextension deformity. This technique has been used in five patients in a prospective study with a one-year follow-up, where the percutaneous technique is followed by a splinting and joint rehabilitation protocol.
Results Positive outcomes demonstrating improved joint stability, reduced pain, and enhanced function with a rate of resolution of the proximal interphalangeal joint hyperextension and blockage in a 100%, and improvement in the Quick-DASH and Mayo Wrist Score.
Conclusions The results have demonstrated that it is a safe method with good outcomes for patients with sagittal plane instability associated with volar plate laxity.
Publication History
Received: 12 February 2024
Accepted: 07 October 2024
Article published online:
23 December 2024
© 2024. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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