Orthopedics Book

Cardiovascular Medicine

http://www.fpnotebook.com/

Volar PIP Dislocation

Aka: Volar PIP Dislocation, Volar Proximal Interphalangeal Joint Dislocation, Finger Dislocation at Volar PIP Joint
  1. Epidemiology
    1. Uncommon Interphalangeal Dislocation
  2. Signs: Central Slip Injury
    1. Inability to extend finger at PIP joint
  3. Imaging
    1. Check Post-reduction films for Fracture
  4. Management
    1. Reduction
      1. Use similar method as for Dorsal DIP Dislocation
    2. Post-reduction (If reduction completed)
      1. Splint only the PIP in full extension for 6 weeks
    3. Referral Indications
      1. Early orthopedic Consultation in most cases
      2. Fracture involves more than 30-40% of intra-articular surface
      3. Difficult or unsuccessful reduction
      4. Patient unable to fully extend finger
  5. Complications
    1. Difficult reduction with often interposed soft tissue
    2. Usually associated with central slip disruption (avulsion)
    3. Frequently associated with Boutonniere Deformity
  6. References
    1. Borchers (2012) Am Fam Physician 85(8): 805-10 [PubMed]
    2. Leggit (2006) Am Fam Physician 73(5): 827-34 [PubMed]
    3. Oetgen (2008) Curr Rev Musculoskelet Med 1(2):97-102 [PubMed]

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