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10.05.2024 | Kasuistiken

Tailored rehabilitation for interphalangeal joint rigidity: a case report on novel noninvasive techniques

verfasst von: Paolo Boccolari, Damiano Giurati, Roberto Tedeschi, Pasquale Arcuri, Danilo Donati

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Abstract

Background

This study addresses the rigidity in extension at the interphalangeal finger joint (IFP), focusing on overcoming “intrinsic dominance” to restore hand functionality. Emphasizing the importance of IFP in hand kinematics, it explores a less invasive rehabilitation strategy, diverging from the continuous motion mobilization system (CMMS) by using a plastic splint and excluding wrist immobilization.

Case presentation

An 18-year-old student presented with a proximal phalanx fracture of the fourth finger, treated surgically with closed reduction and percutaneous pinning. Postoperative stiffness and limited mobility led to a novel rehabilitation approach focusing on restoring flexion and altering the intrinsic flexion pattern.

Clinical discussion

The custom rehabilitation protocol, including the use of a static ulnar gutter orthosis and targeted exercises, aimed at promoting extrinsic flexion patterns. This approach showed significant improvements in range of motion (ROM) and facilitated a shift from intrinsic to extrinsic flexion patterns, highlighting the effectiveness of a tailored rehabilitation strategy.

Conclusion

The study underscores the potential of a personalized, less invasive rehabilitation method in managing IFP rigidity, demonstrating substantial improvements in hand functionality and ROM. It calls for further research into the long-term effectiveness and application of this approach in similar clinical scenarios.

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Titel: Tailored rehabilitation for interphalangeal joint rigidity: a case report on novel noninvasive techniques
verfasst von: Paolo Boccolari
Damiano Giurati
Roberto Tedeschi
Pasquale Arcuri
Danilo Donati
Publikationsdatum: 10.05.2024
Verlag: Springer Medizin
Erschienen in: Manuelle Medizin
Print ISSN: 0025-2514
Elektronische ISSN: 1433-0466
DOI: https://doi.org/10.1007/s00337-024-01065-x

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Tailored rehabilitation for interphalangeal joint rigidity: a case report on novel noninvasive techniques

Abstract

Background

Case presentation

Clinical discussion

Conclusion

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Update Orthopädie und Unfallchirurgie

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Background

Case presentation

Clinical discussion

Conclusion

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Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Mehr Frauen im OP – weniger postoperative Komplikationen

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Klinikreform soll zehntausende Menschenleben retten

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

Update Orthopädie und Unfallchirurgie