Department of Orthopaedics and Rehabilitation, University of Rochester, NY, USA.
J Am Acad Orthop Surg. 2013 Feb;21(2):88-98. doi: 10.5435/JAAOS-21-02-88.
Fracture-dislocations of the proximal interphalangeal joint encompass a spectrum of injury severity, ranging from injuries that require little intervention to those that require advanced reconstructive surgery for optimal outcome. Three fracture-dislocation patterns are recognized: dorsal, volar, and pilon. Acceptable outcome is dependent on achieving and maintaining a well-aligned and well-reduced joint, re-establishing normal joint kinematics, and restoring motion. Anatomic articular surface reduction is desirable but not absolutely necessary for a good outcome. Treatment depends on both the type of injury and patient-dependent factors. Optimal outcome for a specific injury is predicated on expedient diagnosis and recognition of injury severity, which enables initiation of appropriate management.
近节指间关节骨折脱位包括一系列损伤严重程度，从几乎不需要干预的损伤到需要先进的重建手术以获得最佳结果的损伤。有三种骨折脱位模式：背侧、掌侧和跖骨。获得并维持关节对线良好和复位良好、重建正常关节运动学以及恢复运动是可接受的结果的关键。解剖关节面复位是理想的，但对于良好的结果并非绝对必要。治疗取决于损伤类型和患者相关因素。特定损伤的最佳结果取决于迅速诊断和识别损伤严重程度，这能够及时开始适当的治疗。
