Chronic Problems Complications

Accurate diagnosis and prompt treatment are paramount in minimizing prolonged instability, chronic subluxation/dislocation, degenerative arthritis, stiffness, and pain. It is important to note that a minimum of 8 to 18 months may be required for edema to subside to the point of maximum improvement, where residual permanent joint enlargement is due to scar tissue. Despite adequate treatment, complications may occur, such as extension and flexion contractures, and swan neck and pseudobouton-niere deformities.

In general, most PIP dislocations may be treated by EBS, leaving the operative techniques for the more difficult fracture dislocations.

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