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May 27, 1968

Fracture Dislocation of the Proximal Interphalangeal Joint of the Finger

Author Affiliations

From the Fracture Clinic, Massachusetts General Hospital, Boston.

JAMA. 1968;204(9):815-819. doi:10.1001/jama.1968.03140220063019

Case 1  Dr. Mohinder A. Mital: The first case is that of a 23-year-old college student whose complaint was of stiffness in the right third finger. Four weeks before admission to the Massachusetts General Hospital, he received a hyperextension injury to this finger while catching a football. Late that night he went to the emergency room of a local hospital. A physician was not in the hospital and the medical personnel on duty underestimated the extent of the injury. Because of persistent pain, marked limitation of motion, and swelling, he sought advice from his doctor. Roentgenograms were taken which showed a fracture of the middle phalanx with dorsal subluxation of the middle phalanx at the proximal interphalangeal (PIP) joint. The subluxation could not be reduced. The patient was then referred to an attending surgeon at the Massachusetts General Hospital.Physical examination revealed an obese young man who weighed 106.7 kg