II. Exam

  1. Observe for open dislocation

III. Management: Reduction (dorsal dislocation)

  1. Digital Nerve Block
  2. Flex the IP joint while applying traction
  3. Apply direct pressure to distal phalanx base

IV. 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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Ontology: Closed dislocation of interphalangeal joint of thumb (C1444065)

Concepts Injury or Poisoning (T037)
SnomedCT 5408005, 409765008
Spanish luxación cerrada de la articulación interfalángica del pulgar, luxación cerrada de la articulación interfalángica del pulgar (trastorno), luxación no expuesta de articulación interfalángica del pulgar (trastorno), luxación no expuesta de articulación interfalángica del pulgar
English Closed dislocation of interphalangeal joint of thumb (diagnosis), dislocation of thumb interphalangeal closed, Closed dislocation of interphalangeal joint of thumb, Closed dislocation of interphalangeal joint of thumb (disorder)