Postoperative Management

The cast remained in place for 3 weeks. Gentle active range of motion commenced at 3 weeks. The patient began passive range of motion, blocking, and strengthening at 6 weeks. At 3 months, the patient had full active motion at the interphalangeal joints and -15/80 degrees at the MP joint of the ring finger.

Figure 50—4. Posteroanterior radiograph of the ring finger metacarpophalangeal joint after anatomic reduction of the fracture-dislocation.

Figure 50—3. Palmar view of the left ring finger proximal phalanx showing the articular fracture at the base.

Figure 50—4. Posteroanterior radiograph of the ring finger metacarpophalangeal joint after anatomic reduction of the fracture-dislocation.

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