In a 2-month study of 19 patients, we assessed whether dynamic splinting could decrease proximal interphalangeal (PIP) flexion contractures. Interosseous mucles have a small amount of excursion and there is a big problem with adaptive shortening. PIP flexion contractures result from a torque imbalance across the joint. for the treatment of contractures may include serial splinting, serial casting, dynamic or static progressive orthoses, or a combination of these orthoses. This study aimed to determine the effects of serial casting methods using thermoplastic tape in the Proximal Interphalangeal (PIP) joint flexion contracture treatment. Historically, collagenase injections have had correction rates of 77% for MCP contractures and 40% for PIP contractures. Either there is not enough extensor force, too much flexor force, or a combination of the two. This article discusses the advantages and disadvantages of several current splint designs for correcting this contracture and introduces an alternate design that uses wire in a 3-point pressure system. Of the eight patients who completed the study, one experienced a statistically significant improvement in PIP range of motion as a result of the splinting. Orthotic interventions for the treatment of contractures may include serial splinting, serial casting, dynamic or static progressive orthoses, or a combination of these orthoses. •Decreased PIP passive flexion with MP passive extension •Lumbrical tightness? when the MCP joint contracture exceeds 40 degrees or when the PIP joint contracture exceeds 20 degrees. If full PIP extension can be achieved actively with MCP held in flexion, digit can be explored and abnormal FDS tendon transferred to radial lateral band: Type III • Severe contractures, m ultiple digits involved, presents at birth • Usually associated with a syndrome Objectives: Flexion contractures of the Proximal Interphalangeal joint are the most frequent complications resulting from surgical procedures and traumatic events. For joint extension to be maintained following device removal, the surgeon must formulate a treatment plan tailored to the unique findings in each patient and in each digit. Intensive hand therapy was used to maximize function. PIP joint contractures are more … Full finger flexion\ഠdemand elongation of the interosseous muscles. The Digit Widget reverses these contractures by utilizing the principle that gentle force applied over time will stimulate growth of contracted soft tissues. F lexion contracture of the proximal interphalangeal (PIP) joint is a common clinical problem that can occur as a result of the most innocuous injury. 2,3,12 . Interosseous tightness? 1 Hence, severe flexion deformity can lead to marked loss of global hand function and hinders activities of daily living. Referral to a hand surgeon is indicated if the MCP joint contracture reaches 30 degrees or if PIP joint contracture occurs at any degree.2 The Hueston tabletop test is a good indication for referral. However, the flexion contracture is symptom of an underlying problem involving a torque imbalance at the PIP joint. Patients are often offered finger amputation. Movement at this joint is responsible for 85% of the total composite motion of the digit. Pull is volar to the MP and dorsal to the IP. In these 2 patients with claw deformity, we found that tight volar skin was the main contributor to flexion contracture at the PIP level. 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