High risk of complications with surgical treatment of unstable palmar plate disruption .
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A prospective randomized study of conservative versus surgical treatment of unstable palmar plate disruption in the proximal interphalangeal finger joint
Strategies Trauma Limb Reconstr. 2013 Apr;8(1):21-4. doi: 10.1007/s11751-013-0154-y. Epub 2013 Feb 2383 patients with unstable palmar plate disruption in the proximal interphalangeal (PIP) joint were randomized to receive either conservative or surgical treatment in order to determine which method was more effective. Evaluations over a 12 month period indicated that pain scores, range of motion, and hyperextension instability outcomes were all similar between groups. However, the incidence of complications was much higher in patients treated surgically compared to those treated conservatively.
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