A palmar fracture-dislocation of the proximal interphalangeal joint of the middle finger caused by bowling : a case report
Deutscher übersetzter Titel: | Eine durch Bowling verursachte palmare Luxationsfraktur des proximalen Interphalangealgelenks des Mittelfingers : eine Fallstudie |
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Autor: | Fukui, Tomoaki; Ishida, Kazunari; Shoji, Taro; Ito, Kenjiro; Matsushima, Shinji; Kuroda, Ryosuke |
Erschienen in: | Journal of sports science and medicine |
Veröffentlicht: | 8 (2009), 1, S. 144-147, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1303-2968 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201002002147 |
Quelle: | BISp |
Abstract
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