Recurrent Dislocation of the Proximal Interphalangeal Joint of the Finger: A Rare Issue in Hand Surgery

Document Type : CASE REPORT


1 Department of Hand and Microsurgery, Besat Hospital, Hamedan University of Medical Sciences, Hamedan, Iran

2 Hand and Microsurgery Department, Emam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran


Recurrent dislocation is not common in small joints. This report presents a new case of chronic recurrent dislocation of proximal interphalangeal joint of the finger in which soft tissue injuries have a role in the dislocation. The patient was a 23 years old man who had referred to our center because of recurrent dislocation of proximal interphalangeal joint of his right ring finger during sports activities. This case was unique since no flexor digitorum superficialis or flexor digitorum profundus tendons were used for reconstruction of volar plate avulsion in the treatment.


Main Subjects

1. Leibovic SJ, Bowers WH. Anatomy of the proximal
interphalangeal joints. Hand Clin. 1994; 10(2):169-78.
2. Bowers WH, Wolf JW Jr, Nehil JL, Bittinger S. The
proximal interphalangeal joint volar plate, I: an
anatomical and biomechanical study. J Hand Surg Am.
1980; 5(1):79-88.
3. Merrel G, Slade JF. Dislocations and ligament injuries
in the digits. In: Wolfe SW, Hotchkiss RN, Pederson WC,
Kozin SH, editors. Green’s operative hand surgery. 6th
ed. New York: Churchill Livingstone; 2011. P. 291-332.
4. Palmer AK, Linscheid RL. Chronic recurrent
dislocation of the proximal interphalangeal joint of
the finger. J Hand Surg Am. 1978; 3(1):95-7.
5. Portis RB. Hyper-extensibility of the proximal
interphalangeal joint of the finger following trauma.
J Bone Joint Surg. 1954; 36(6):1141-6.
6. Itadera E, Muramatsu Y, Hiwatari R, Moriya H. Chronic
recurrent dislocation of the distal interphalangeal
joint of the finger: case report. J Hand Surg Am. 2009;
7. Catalano LW 3rd, Skarparis AC, Glickel SZ, Barron
OA, Mulley D, Lane LB, et al. Treatment of chronic,
traumatic hyperextension deformities of the proximal
interphalangeal joint with flexor digitorum superficialis
tenodesis. J Hand Surg Am. 2003; 28(3):448-52.
8. Lane CS. Reconstruction of the unstable proximal
interphalangeal joint: the double superficialis
tenodesis. Hand Surg Am. 1978; 3(4):368-9.
9. Malerich MM, Eaton RG. The volar plate reconstruction
for fracture-dislocation of the proximal interphalangeal
joint. Hand Clin. 1994; 10(2):251-60.
10. Dionysian E, Eaton RG. The long-term outcome of volar
plate arthroplasty of the proximal interphalangeal
joint. J Hand Surg Am. 2000; 25(3):429-37.
Volume 5, Issue 2
March 2017
Pages 121-124
  • Receive Date: 17 January 2016
  • Revise Date: 09 April 2016
  • Accept Date: 12 April 2016
  • First Publish Date: 01 March 2017