A palmar fracture-dislocation of the proximal interphalangeal joint of the middle finger caused by bowling : a case report

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Bibliographic Details
Title translated into German:Eine durch Bowling verursachte palmare Luxationsfraktur des proximalen Interphalangealgelenks des Mittelfingers : eine Fallstudie
Author:Fukui, Tomoaki; Ishida, Kazunari; Shoji, Taro; Ito, Kenjiro; Matsushima, Shinji; Kuroda, Ryosuke
Published in:Journal of sports science and medicine
Published:8 (2009), 1, S. 144-147, Lit.
Format: Publications (Database SPOLIT)
Publication Type: Journal article
Media type: Electronic resource (online) Print resource
Online Access:
Identification number:PU201002002147


During bowling, a twenty year old man could not pull out his middle finger from the ball in release and injured his finger. X-ray revealed a palmar fracture- dislocation of the PIP joint. We manipulated the PIP joint, but a gap remained at the fracture site on the X-ray after reduction. Surgical treatment was performed with a screw. Postoperatively, the middle finger was fixed with a splint for two weeks, and then active range of motion exercises were started. One year after the operation, the fracture had healed with a congruous joint surface, and the patient had full range of motion in the middle finger with no difficulties in activities of daily living. The etiology of a palmar fracture-dislocation of the PIP joint is still controversial, but we suggested the mechanism of the fracture-dislocation was caused by a shearing force to the middle phalangeal base from a dorsal direction. The main cause of the current injury was the poor fit between the middle finger and the hole of the bowling ball. Bowling is a popular and safe sport, but we should be aware of unexpected hand injuries related to bowling which may occur, especially in players at a recreational level. Verf.-Referat