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Splinting > Conditions
Hand, Wrist, Forearm & Elbow Conditions > Volar Plate
Ligament Injury of the Finger Hand Therapy
Volar Plate Ligament Injury of the Finger Hand Therapy
“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.”
Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand
In Phoenix Rehab, our senior hand therapists are experienced licensed and dedicated therapists (physiotherapists and/or occupational therapists) who specialized ONLY in the rehabilitation, treatment and management of painful fingers, hands, wrists, forearm & elbow conditions, because of interest, passion and expertise.
Volar plate ligament (red) with an avulsion fracture
Our volar plate is a ligament on the palm side of the finger made of tough tissue connecting the finger bones together for stability.
The most common joint of the finger to have a volar plate injury is the one closest to the knuckle called the proximal interphalangeal joint, or PIP.
This volar plate tightens as the PIP joint is straightened and keeps the joint from being bent backward or hyperextended and because of that, our volar plate can be
- ruptured or
A sprain occurs when the ligament is stretched or some fibers are torn. A rupture is when the ligament is completely torn. An avulsion is when the ligament is torn away from the bone causing a fracture
What are the symptoms of a volar plate injury?
Initially, the finger may be
- swollen and
around the PIP joint.
Finger motion may be decreased due to pain and swelling. If the PIP joint has been dislocated, it may look out of place.
What are the causes of a volar plate injury?
The most common causes of volar plate injuries are sports or falls when the finger is bent back forcefully. The volar plate can also be injured if the PIP joint is dislocated.
Catching a ball in sports is a common cause of volar plate injury
What is the treatment for a volar plate injury?
Good news is that most volar plate injuries can be treated without surgery.
A physical examination and X-rays may be taken to rule out the possibility of finger fractures.
Treatment may consist of a short period of protection by wearing an orthosis and early exercise. That being said...if the volar plate injury is not stable, surgery might be required.
What can a hand therapist do for me?
It is important to see our senior hand therapists after having a volar plate injury.
We may likely make a custom volar plate splint to protect the finger as it heals. Hand therapy exercises to
Example of a finger-protection orthosis for a volar plate injury
Patients may also receive the following hand therapy treatment modalities:
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
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It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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