Exam
1. Observe for open dislocation
Management: Reduction (dorsal dislocation)
1. Digital Nerve Block
2. Flex the IP joint while applying traction
3. Apply direct pressure to distal phalanx base
Management: Post-reduction
1. Joint assessment
  1. Assess joint range of motion
  2. Assess collateral ligaments with MCP flexed
  3. XRay finger after reduction
2. Immobilization
  1. Splint for 3 weeks in 20-30 degrees of flexion

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.