Keifhaber-Stern classification of volar plate avulsion injuries
Last revised by Arlene Campos on 8 May 2024
Citation, DOI, disclosures and article data
Citation:
Jha P, Campos A, Knipe H, et al. Keifhaber-Stern classification of volar plate avulsion injuries. Reference article, Radiopaedia.org (Accessed on 19 May 2024) https://doi.org/10.53347/rID-47255
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rID:
47255
Article created:
7 Aug 2016,
Praveen Jha
Disclosures:
At the time the article was created Praveen Jha had no recorded disclosures.
View Praveen Jha's current disclosures
Last revised:
8 May 2024,
Arlene Campos ◉
Disclosures:
At the time the article was last revised Arlene Campos had no financial relationships to ineligible companies to disclose.
View Arlene Campos's current disclosures
Revisions:
7 times, by
7 contributors -
see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Keifhaber-Stern classification
The Keifhaber-Stern classification can be used to classify volar plate avulsion injuries of the fingers.
On this page:
Usage
Along with the Eaton classification, this classification is considered (c. 2016) one of the most useful for the management of volar plate avulsion injuries 2.
For Keifhaber-Stern classification "stable" or "tenuous", conservative management is recommended with surgical management for "unstable" injuries 2.
Classification
According to this classification, there are three types of volar plate avulsion injury 1,2:
stable avulsion fracture involving <30% of the articular base of the middle phalanx
tenuous avulsion fracture involving 30%-50% of the articular base of the middle phalanx; reduces with <30° of flexion
unstable avulsion fracture involving <50% articular base of the middle phalanx but requires >30° flexion to maintain reduction
History and etymology
The classification was proposed originally by Hastings and later modified by Keifhaber and Stern in 1998 1.
References
- 1. Kiefhaber T & Stern P. Fracture Dislocations of the Proximal Interphalangeal Joint. J Hand Surg Am. 1998;23(3):368-80. doi:10.1016/S0363-5023(05)80454-X - Pubmed
- 2. Pattni A, Jones M, Gujral S. Volar Plate Avulsion Injury. Eplasty. 2016;16:ic22. PMC4894366 - Pubmed
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