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Joints of the hand, X-ray Interphalangeal ligaments and phalanges. Right hand. Deep dissection. Posterior (dorsal) view. The PIP joint exhibits great lateral stability. Its transverse diameter is greater than its antero-posterior diameter and its thick collateral ligaments are tight in all positions during flexion, contrary to those in the metacarpophalangeal joint.
Osteoarthritis commonly affects three main sites in the hand: the base of the thumb, where the thumb and wrist converge, known as the carpometacarpal (CMC) joint; the joint closest to the fingertip, referring to the distal interphalangeal joint (DIP); the middle joint of a finger, referring to the proximal interphalangeal joint (PIP). [5]
A hand imitating an ulnar claw. The metacarpophalangeal joints of the 4th and 5th fingers are extended and the Interphalangeal joints of the same fingers are flexed.. An ulnar claw, also known as claw hand or Spinster’s Claw, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals.
In the human hand, palmar or volar plates (also referred to as palmar or volar ligaments) [1] are found in the metacarpophalangeal (MCP) and interphalangeal (IP) joints, where they reinforce the joint capsules, enhance joint stability, and limit hyperextension.
Boutonniere deformity is a deformed position of the fingers or toes, in which the joint nearest the knuckle (the proximal interphalangeal joint, or PIP) is permanently bent toward the palm while the farthest joint (the distal interphalangeal joint, or DIP) is bent back away (PIP flexion with DIP hyperextension).
The carpometacarpal joint connects the carpal bones to the metacarpus or metacarpal bones which are joined at the intermetacarpal articulations. In the fingers, finally, are the metacarpophalangeal joints (including the knuckles ) between the metacarpal bones and the phalanges or finger bones which are interconnected by the interphalangeal joints .
Joint replacement of the hand is a procedure that was invented by the Scottish scientist, Mitchell McGuire. The procedure was considered a major breakthrough in the medical field at the time. However, it is now considered an almost standard operation. The first successful surgery of this kind was conducted on 21 December 1992, in New York City, US.
If the problem has been present a long time surgery may also be required. [6] An open fracture may be another reason. Surgery will put the finger in a neutral position and drill a wire through the distal interphalangeal joint (DIP) to the proximal interphalangeal joint (PIP), forcing immobilization.