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CASE REPORT
Proximal Interphalangeal Angular Deformity in 16F
https://upload.orthobullets.com/cases/102106/intra-op 3.jpg https://upload.orthobullets.com/cases/102106/intra-op 1.jpg
A
Alejandro Badia MD
Badia Hand to Shoulder Center
Badia Hand to Shoulder Center
Badia Hand to Shoulder Center
VIEW EXPERT OPINIONS
HPI
A 16-year-old right-hand dominant student athlete fell onto her left hand while playing “capture the flag”. The patient and her family presented to us... for a second opinion after 5 weeks with mild articular malunion and pain with Angular deformity in left ring finger. She sustained a hyperextension injury to the left 4th finger and took x-rays at general urgent care. She was told she had a boutonniere injury, no fractures, and could be treated with 3 months of therapy. She noted angular deformity at the PIP. A visiting orthopedic surgeon reviewed her x-rays approximately 5 weeks later and advised she would likely develop arthritis in the future and would at some point need a joint replacement, but that no treatment was recommended at the time. She complained of slight pain at rest, with worsening pain with certain heavy gripping activities.
4608   votes
1
(P: 178982) In addition to AP and LAT radiographs of the digit, would you obtain any additional imaging to guide your treatment?
No - AP and LAT radiographs of the digit are sufficient
34%
164/481
Yes - additional radiographs (includes dynamic fluoroscopy) (aXR)
7%
37/481
Yes - CT scan of the digit (CT)
29%
140/481
Yes - MRI of the digit (MRI)
16%
77/481
Yes - aXR + CT
2%
13/481
Yes - aXR + MRI
1%
7/481
Yes - CT + MRI
3%
15/481
Yes - aXR + CT + MRI
0%
1/481
Outside my area of expertise - best if I don't vote
5%
27/481
9   Surgeons
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Brent Bamberger, DO OASWO
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United States of America
Last Week
United States of America
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Pieter Maré Pietermaritzburg, KwaZulu-Natal, ZA
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South Africa
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South Africa
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George Balis, MD Cleveland Clinic Martin Health
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United States of America
Last Year
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cavid ilyaszade, MD Military Hospital baku, AZ
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Azerbaijan
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Gururaj Puranik Shree Orthopaedics & Fracture Clinic
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United Kingdom of Great Britain and Northern Ireland
Last Year
United Kingdom of Great Britain and Northern Ireland
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Spain
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Greece
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Egypt
7 surgeons
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Scaphoid Lunate Advanced Collapse (SLAC)
PMID: 34118475 Orthop Traumatol Surg Res. 2021 Sep;107(5):102986. Epub 2021 Jun 9.
D
post

Is there still a place for denervation in the treatment of osteoarthritis of the wrist and hand?

Germain Pomares
Bernard Lallemand
Is there still a place for denervation in the treatment of osteoarthritis of the wrist and hand?
Pubmed
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    Is there still a place for denervation in the treatment of osteoarthritis of the wrist and hand?
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