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  1. What is the proximal inter-phalangeal (PIP) joint? The PIP joint is the middle joint of each of your fingers. It is a highly complex joint with many soft tissue structures surrounding the bones to enable your finger to move. It is commonly damaged during falls and ball sports. The common structures to damage in the PIP joint

  2. The interphalangeal joints of hand are hinge-joints; each has a volar and two collateral ligaments. The arrangement of these ligaments is similar to those in the metacarpophalangeal articulations. The Extensor tendons supply the place of posterior ligaments.There are two sets (except in the thumb): "proximal interphalangeal joints" (PIJ or PIP), those between the first (also called proximal ...

  3. Pachydermodactyly presents as a symmetrical soft-tissue thickening of the skin on the sides of the proximal interphalangeal joints, most commonly affecting the second (index), third (middle) and fourth (ring) fingers of both hands. The thumbs and fifth fingers are rarely involved. Some patients may also have overlying hyperkeratosis ...

  4. Dec 20, 2015 · PIP (Proximal Interphalangeal) Joint Fusion. Edited by Robert Leland, MD Indication. The PIP is the first joint of the small toes. The indication for surgery is when this joint has a fixed curved (Clawtoe or Hammer Toe) deformity and when the deformity is producing enough pain or functional limitations to warrant surgery.

  5. The proximal phalanx is the toe bone that is closest to the metatarsals. Because it is the longest of the toe bones, it is the most likely to fracture. A fractured toe may become swollen, tender, and discolored. If the bone is out of place, your toe will appear deformed. Treatment. Most broken toes can be treated without surgery.

  6. At the middle joint of a finger (the proximal interphalangeal or PIP joint) All forms of hand arthritis can cause stiffness, swelling, pain, and deformity. Osteoarthritis sometimes causes bony nodules at the middle joint of the finger (Bouchard’s nodes) or at the end joint of the finger (Heberden’s nodes) (see Figure 2).

  7. The osteoarthritic process can start as a single traumatic episode or as a result of “wear and tear,” or overuse. Other causes of osteoarthritis of this joint are infection and developmental orthopedic disease. The proximal interphalangeal joint is a lower motion joint that is somewhat unforgiving to high loads placed upon it.

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