1)Health condition: volar plate lesion, PIPJ dislocation, hyperextension trauma 2)Problem studied: a)The feasibility of the new developed protocol, after PIPJ dislocation regarding: - Equipment - Procedure - Integrated co-ordination of the treatment between the primary care specialist, the hand-surgeon and the hand therapist. b) Potential benefit of the protocol in patients with PIPJ dislocation problems, regarding: - function, activity and participation level.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - PIPJ-dislocation - Volar plate lesion - Hyperextension trauma - Clinically diagnosed with x-ray: - Avulsion fracture less than 30-40% of the joint surface. - Age: > 18 years - Post-injury time of 0-3 weeks (acute group) - Ability to understand the Dutch language.
Exclusion criteria
Exclusion criteria: - Avulsion fracture more than 40 % of the joint surface. - Surgical indication of the PIP-joint - Post-injury time more than 3 weeks (sub-acute of chronical group) - Other pathology: acute complex regional pain syndrome (CRPS), inflammatory arthritic conditions, or artificial joints
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The specialist and therapeutic experiences regarding: - the interdisciplinary collaboration, - the equipment used, - the procedure including timing and frequency of measurements. | — |
Secondary
| Measure | Time frame |
|---|---|
| The 'order of magnitude' of the potential benefit of the protocol in patients with PIPJ dislocation problems, the following outcome measures will be described: the parameters of function, activity and participation level of the patient. The parameters include the active range of motion (AROM), pain using the numeric pain rating scale (NPRS) and scores of the Quick Dash and the Jamar dynamometer for grip strength. | — |
Contacts
Afdeling Revalidatie, Zuyderland Medisch Centrum Heerlen