Background - Traumatic volar plate injuries of the proximal interphalangeal joint (PIPJ) are a common injury. Current literature presents a variety of management protocols following both surgical and conservative approaches. Literature discusses the use of a dorsal blocking splint (DBS) but the type, angle and duration varies. This research compares the use of DBS at two positions, 30 degrees and neutral (0).
Aims - Investigate ROM, stability, pain, number of hand therapy appointments and discharge from the service for two groups of patients splinted in different positions.
Method - Retrospective study over two years, reviewing over 200 files and having 125 meeting the inclusion / exclusion criteria (105 at 30 degrees, 20 at neutral). Data collected included demographic, primary outcome measures (ROM, stability and pain) and secondary outcomes hand therapy appointments and time to discharge. Statistical analysis of the data completed.
Results – Neutral group has better ROM into extension (mean 1.6 compared to 5.9), less hand therapy appointments (3 v 4) and quicker discharge (5 weeks compared to 7 weeks) with no increase in pain or instability.
Conclusion – Research suggests for both conservative and surgical managed injuries to the volar plate a DBS in neutral is the preferred option for improved ROM, less HT appointments and quicker discharge.