Avoid prolonged rigid immobilization because PIP stiffness can become the dominant problem.
This page explains how a volar plate injury of pip joint is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your child's personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
Avoid prolonged rigid immobilization because PIP stiffness can become the dominant problem.
Stable PIP injuries need protection and motion—not prolonged immobilization.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
Buddy tape or extension-block splint with the PIP protected from hyperextension for approximately 2–3 weeks.
Light hand use as tolerated; avoid forceful gripping and hyperextension.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
Begin early protected PIP flexion and extension to reduce stiffness.
Hand therapy if motion is limited or swelling persists.
Follow up in 1–2 weeks to confirm stability and motion.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
School: Desk/school as tolerated; manual work based on grip and pain.
Sports or High-Risk Activity: Usually 6–8 weeks when stable and pain-free.
Irreducible dislocation, unstable joint, large articular fragment, neurovascular compromise, or open injury.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
Buddy tape or extension-block splint with the PIP protected from hyperextension for approximately 2–3 weeks.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.