ABSTRACT
Fractures and dislocations of the metacarpophalangeal (MP) and proximal
interphalangeal (PIP) joints are most commonly seen in younger patients and
often related to sporting activities. Appropriate evaluation and timely interven-
tion are essential in order to ensure good outcomes and to avoid long-term
morbidity from pain and loss of motion. Although most dislocations can be
managed nonoperatively, operative intervention is usually indicated for larger
fractures associated with dislocations. Surgical intervention requires a good
knowledge of the anatomy and surgical approaches as well as familiarity with
instrumentation for the fixation of small fragments. An aggressive postoperative
rehabilitation program is essential for return to sport or preinjury level of activity.
METACARPOPHALANGEAL JOINT
