Freiberg Arnis
Department of Surgery, University of Toronto, Toronto, Ontario.
Can J Plast Surg. 2007 Winter;15(4):199-203. doi: 10.1177/229255030701500407.
Injuries to the proximal interphalangeal joint are common but frequently missed. They are often overtreated by prolonged immobilization, resulting in stiffness, which may be permanent. The purpose of the present article is to briefly review the relevant anatomy and biomechanics, present an approach to physical examination and diagnosis, and propose a practical clinical classification. The treatment of the most severe injury - the intra-articular fracture dislocation - is controversial. The various treatment options are discussed, based on personal experience and a review of the literature. A list of relevant references is presented.
近端指间关节损伤很常见，但常常被漏诊。它们常因长时间固定而过度治疗，导致僵硬，这可能是永久性的。本文的目的是简要回顾相关的解剖学和生物力学，介绍体格检查和诊断方法，并提出一种实用的临床分类。最严重的损伤——关节内骨折脱位——的治疗存在争议。基于个人经验和文献回顾，讨论了各种治疗选择。列出了相关参考文献。
