We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A palmar fracture-dislocation of the proximal interphalangeal joint of the middle finger caused by bowling: A case report.
- Authors
Fukui, Tomoaki; Ishida, Kazunari; Shoji, Taro; Ito, Kenjiro; Matsushima, Shinji; Kuroda, Ryosuke; Fujioka, Hiroyuki; Kurosaka, Masahiro; Yoshida, Kazuya
- 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.
- Subjects
JOINT injuries; BOWLING techniques; ETIOLOGY of diseases; BOWLERS; ATHLETES
- Publication
Journal of Sports Science & Medicine, 2009, Vol 8, Issue 1, p144
- ISSN
1303-2968
- Publication type
Article