Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Views
7695
Download
1262
from September 2014
 
©Journal of Sports Science and Medicine (2009) 08, 144 - 147

Case report
A Palmar Fracture-Dislocation of the Proximal Interphalangeal Joint of the Middle Finger Caused by Bowling: A Case Report
Tomoaki Fukui1, Kazunari Ishida2, , Taro Shoji1, Kenjiro Ito1, Shinji Matsushima1, Ryosuke Kuroda2, Hiroyuki Fujioka2, Masahiro Kurosaka2, Kazuya Yoshida1
Author Information
1 Department of Orthopaedic Surgery, Akashi Medical Center, Akashi, Japan
2 Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan

Kazunari Ishida
✉ Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, JAPAN
Email: wavedreamer17@yahoo.co.jp
Publish Date
Received: 01-07-2008
Accepted: 18-12-2008
Published (online): 01-03-2009
 
 
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


           Key Points
  • We presented a palmar fracture-dislocation of the PIP joint in a middle finger that occured while bowling.
  • We discussed the mechanism and suggested the main cause of the injury was the poor fit between the middle finger and the hole of the bowling ball.
  • We advised that while bowling is recognized as a safe sport, due to its popularity we should be aware of unexpected hand injuries which may occur, especially in players at a recreational level.
 
 
Home Issues About Authors
Contact Current Editorial board Authors instructions
Email alerts In Press Mission For Reviewers
Archive Scope
Supplements Statistics
Most Read Articles
  Most Cited Articles
 
  
 
JSSM | Copyright 2001-2024 | All rights reserved. | LEGAL NOTICES | Publisher

It is forbidden the total or partial reproduction of this web site and the published materials, the treatment of its database, any kind of transition and for any means, either electronic, mechanic or other methods, without the previous written permission of the JSSM.

This work is licensed under a Creative Commons License Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.