I suffered a sporting injury to my right index finger 5 weeks ago, it was direct blow to the end of the finger causing a tuft fracture right at the tip, a fracture lower on the distal phalanx near the DIP joint, tendon damage, causing a mallet deformity, along with a Volar Plate avulsion fracture of the PIP joint (bottom corner of the middle phalanx). Intitally I was given a straight splint to wear, which caused the PIP point to become very stiff, leading me to take advice from another doctor after a week, who commented that the PIP joint was subluxed, and wanted me to get it moving, which I have over the last 4 weeks, and I can get it to about 75 deg unaided, and 90 deg aided to the point it feels that that is as far as the joint will move, this is done so with a great deal of clicking,popping (sometimes painful) and grating sensation in the joint. With this movement the 2nd doctor said i didnt need to see him again. I am however concerned that all of this clicking popping in the joint is causing damage and that on external inspection its obvoius the joint is still subluxing as the top of the middle phalanx sits a lot higher than the Proximal one when held straight. Will this subluxing self correct? and what would be the cause of all of the joint clicking, popping and grating?
The subluxation is unlikely to correct by itself. The initial splint was the correct management at the time and would have been needed for about 2-4 weeks depending on the degree of the injury. Stiffness is a side effect of immobility which is usually dealt with later with physical therapy. Though subluxation may cause restricted movement, movement does not correct subluxation; which would have required reduction and brief splinting/ buddy taping or extension block casting; while surgery is considered in severe cases. It would be difficult to comment on the current situation without an evaluation. My best advice at this time would be to seek an opinion with another orthopedician to get his/ her views on appropriate management.
Hope this was helpful.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.