The Rule of Fours—Clinical and Radiographic Parameters for Trans-articular Distal Interphalangeal Joint Kirschner Wire Insertion

The results suggest that a simple 'rule of fours' can be utilized to allow expedient and optimal passage. The entry point should be midline in the coronal plane, approximately 4 mm volar to the dorsal surface of the nail plate and aimed at a point 40% volar to the dorsal aspect of the soft tissue envelope at the level of the DIPJ crease. These guidelines are easily replicable and conveyable; additionally, they can guide insertion in the absence of fluoroscopy.

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Publication Details

Journal
Annals of Plastic Surgery
Published
2024-11-27
DOI
https://doi.org/10.1097/sap.0000000000004157
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
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article

The Rule of Fours—Clinical and Radiographic Parameters for Trans-articular Distal Interphalangeal Joint Kirschner Wire Insertion

Brahman Sivakumar, Harrison Faulkner, Richard D. Lawson, Conor Honeywill et al.
Annals of Plastic Surgery
Orthopedic Surgery and Rehabilitation
article

The Rule of Fours—Clinical and Radiographic Parameters for Trans-articular Distal Interphalangeal Joint Kirschner Wire Insertion

Brahman Sivakumar, Harrison Faulkner, Richard D. Lawson, Conor Honeywill, David Graham, Vanessa Giddins
article en

Abstract

The results suggest that a simple 'rule of fours' can be utilized to allow expedient and optimal passage. The entry point should be midline in the coronal plane, approximately 4 mm volar to the dorsal surface of the nail plate and aimed at a point 40% volar to the dorsal aspect of the soft tissue envelope at the level of the DIPJ crease. These guidelines are easily replicable and conveyable; additionally, they can guide insertion in the absence of fluoroscopy.

Annals of Plastic SurgeryVol. 94(3)
The University of Sydney (AU), Royal North Shore Hospital (AU), Gold Coast Hospital (AU), Hornsby Ku-ring-gai Hospital (AU)
Good health and well-being
Openalex Percentile: Top 59%
Orthopedic Surgery and Rehabilitation
DOISourceOpenAlex
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The Rule of Fours—Clinical and Radiographic Parameters for Trans-articular Distal Interphalangeal Joint Kirschner Wire Insertion — Brahman Sivakumar, Harrison Faulkner, et al. · Annals of Plastic Surgery (2024) | TGRS Research Map | TGRS