Journal of Sports Science and Medicine
Journal of Sports Science and Medicine
ISSN: 1303 - 2968   
Ios-APP Journal of Sports Science and Medicine
Androit-APP Journal of Sports Science and Medicine
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©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
‚úČ 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
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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.
 
 
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