Treatment of Acute Proximal Interphalangeal Joint Palmar Plate Injury by Bone Channel Suture

  • Jinchuan Sun Department of Orthopedics, Binzhou People’s Hospital
  • Ai Xue Operating Room, Binzhou People’s Hospital
  • Lijie Wang Operating Room, Binzhou People’s Hospital
  • Zheng Zhang Department of Hand surgery, Binzhou Medical College Affiliated Hospital
Keywords: Palmar Plate Injury;Avulsion Reconstruction


Objective: Objective: To explore the surgical efect of suture through bone canal in the treatment of reconstruction of acute prox-imal interphalangeal joint metacarpal anchorage. Methods From July 2018 to August 2021, we retrospectively analyzed 9 cases of avulsion of metacarpal plate near interphalangeal joint, including 7 males and 2 females, aged 17-40 years, with an average of 34 years. There were 4 cases of index fnger, 3 cases of middle fnger and 2 cases of ring fnger. Early fexion and extension exercises were performed after opera-tion. The last follow-up included the range of motion of the proximal interphalangeal joint and joint pain. Results All patients were followed up (4-12 months) after operation.According to the TAM method, 7 cases were excellent and 2 cases were good. Conclusion Transosseous su-ture for acute proximal interphalangeal joint metacarpal reconstruction has the advantages of simple operation, safety, frm fxation and rapid postoperative recovery.


[1] Cheriyan T, Neuhaus V, Mudgal CS. Bony avulsion injury of flexor digitorum profundus- description of a new subtype [J]. J Hand

Surg Eur Vol, 2013, 38(1): 91-92.

[2] Wolfe SW, Hotchkiss RN, Pederson WC. Green Hand Surgery [M]. Guanglei Tian, Xieyuan Jiang, Shanlin Chen, et al. Trans. Bei_x005fjing: Peking University Medical Press, 2022: 287.

[3] Bowers WH, Wolf JW Jr, Nehil JL, et al.The proximal interphalangeal joint volar plate.I.An anatomical and biomechanical

study[J]. J Hand Surg Am,1980, 5(1): 79-88.

[4] Eaton RG. Joint injuries of the hang[M]. Springfield: Thomas, 1971:9-39.

[5] Adi M, Hidalgo Diaz JJ, Salazar Botero S, et al. Results of conservative treatment of volar plate sprains of the proximal interphalangeal joint with and without avulsion fracture[J]. Hand Surg Rehabil,2017,36(1):44-47.

[6] Stanley EA, Seifman MA, Mills B, Fay P, Thomas DJ. Dorsal Block Splinting of Volar Plate Injuries at Neutral Position. Ann Plast

Surg. 2019 May;82(5):520-522.

[7] Paschos NK, Abuhemoud K, Gantsos A, Mitsionis GI, Georgoulis AD. Management of proximal interphalangeal joint hyperextension injuries: a randomized controlled trial. J Hand Surg Am. 2014 Mar; 39(3): 449-54.

[8] Lee S, Jang SJ, Jeon SH. Factors Related to Failure of Conservative Treatment in Volar Plate Avulsion Fractures of the Proximal

Interphalangeal Joint[J].Clin Orthop Surg, 2020,12(3):379-385.

[9] Niu AQ, Wang YJ, Wang J, et al. Analysis of 21 cases of avulsion fracture of proximal interphalangeal joint with tension band wire

fixation [J]. Modern practical medicine, 2016, 28 (10): 1289-1290.

[10]Zheng HY, Liu J, Hong GX, et al. Treatment of chronic avulsion injury of palmar plate of proximal interphalangeal joint with micro bone anchor[J]. Orthopaedics, 2012, 3(1):4-6.

[11]Wang K, Ju JH, Jin GZ, et al. Reconstruction of avulsion injury of palmar plate of proximal interphalangeal joint by microanchoring [J]. Chinese Journal of Hand Surgery, 2019, 35(4): 267-269.

Review Article