II. Epidemiology

  1. PIP Joint is the most commonly dislocated finger joint

III. Mechanism

  1. Hyperextension injury most common
  2. Common injury in athletes

V. Complications

  1. General
    1. Risk of longterm stiffness
    2. Distal Phalanx Fracture
    3. Tendon Injury
  2. Dorsal PIP Dislocation (most common)
    1. Risk of Volar Plate Injury
  3. Volar PIP Dislocation (rare)
    1. Risk of Central slip rupture
    2. May result in Boutonniere Deformity

VI. Imaging: Finger XRay before and after reduction

  1. Exclude avulsion Fracture
  2. Reduction may be attempted on sideline without XRay

VII. Signs

  1. Grossly deformed digit

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Ontology: Closed traumatic dislocation, proximal interphalangeal joint (C0434643)

Concepts Injury or Poisoning (T037)
SnomedCT 208862005
English Cls traumatic disloctn PIPJ, closed traumatic dislocation of proximal interphalangeal joint (diagnosis), closed traumatic dislocation of proximal interphalangeal joint, dislocation of joint of digit closed traumatic, proximal interphalangeal, Closed traumatic dislocation, proximal interphalangeal joint, Closed traumatic dislocation, proximal interphalangeal joint (disorder)
Spanish luxación traumática no expuesta de articulación interfalángica proximal (trastorno), luxación traumática no expuesta de articulación interfalángica proximal