- Discussion:
    - often badly comminuted;
    - consider a short period of splinting followed by early active motion;
    - this may mold the articular surface by using the soft tissue sleeve;
    - early motion will also prevent joint stiffness, but loos of motion is common after this type of fracture;

- Operative Fixation:
    - see: extensor mechanism of the digits
    - interosseous wiring:
    - screw fixation:
           

    - K wire fixation:
           

    - another example:
         

  Motion after metacarpophalangeal joint reconstruction in rheumatoid disease.