Keifhaber-Stern classification of volar plate avulsion injuries of hand

This classification was proposed originally by Hastings, and later modified by Keifhaber and Stern in 1998. This classification along with Eaton classification is the most widely accepted classification at time of writing (August 2016) for management og volar plate avulsion injuries1.

Three types according to this classification are- 

StableAvulsion fracture involving <30% articular base of the middle phalanx

TenuousAvulsion fracture involving 30%-50% articular base of the middle phalanx; reduces with <30° of flexion

UnstableAvulsion fracture involving <50% articular base of the middle phalanx but requires >30° flexion to maintain reduction

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Article information

rID: 47255
Synonyms or Alternate Spellings:
  • Keifhaber Stern classification

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