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JOURNAL
OF
SPORTS SCIENCE &
MEDICINE
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Case
report
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A PALMAR FRACTURE-DISLOCATION OF THE PROXIMAL INTERPHALANGEAL JOINT OF THE MIDDLE FINGER CAUSED BY BOWLING: A CASE REPORT |
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Tomoaki Fukui1, Kazunari Ishida2  ,
Taro Shoji1, Kenjiro Ito1, Shinji Matsushima1,
Ryosuke Kuroda2, Hiroyuki Fujioka2, Masahiro Kurosaka2
and Kazuya Yoshida1 |
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1Department of Orthopaedic Surgery, Akashi Medical Center, Akashi, Japan, 2Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. |
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© Journal of Sports Science and Medicine (2009) 8, 144 - 147 Search Google Scholar for Citing Articles |
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| 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.
Key words: Palmal fracture-dislocation, PIP joint, bowling, sports. |
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