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Posterior Fracture Fracture Dislocation Dislocation Dr H.Saeed M.D. TUMS congress March 2010 Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran.

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Presentation on theme: "Posterior Fracture Fracture Dislocation Dislocation Dr H.Saeed M.D. TUMS congress March 2010 Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran."— Presentation transcript:

1 Posterior Fracture Fracture Dislocation Dislocation Dr H.Saeed M.D. TUMS congress March 2010 Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

2 anatomical and functional locus of finger function Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

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4 3dLigament-box complex 3d Ligament-box complex Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

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7 DorsalLateralvolar

8 Type I hyperextention Type II dorsal dislocation Type III fracture-dislocation

9 Type I Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

10 Type II Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

11 Type III Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

12 Type III  stable  unstable Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

13 Type III  stable Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

14 Type III  unstable Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

15 Active stability Passive stability Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

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17 no more than one week immobilization Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

18 no more than 2-3 weeks immobilization Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

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20  Extension block splinting  Extension block pining  Dynamic skeletal traction  Open reduction and internal fixation  Hemihamate autograft  Volar plate arthroplasty Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

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28  Redisplacement  Angulation  Flexion contracture  DIP stiffness Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

29 PIP flexion contracture Posterior fx-dx of hand PIP joint, Dr H.Saeed M.D.,Tehran POTA congress 2010

30 Thank you for attention


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