Template:DIP reduction: Difference between revisions
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=== | *Consider [[digital block]] for pain control | ||
* | |||
*Apply longitudinal traction | ===Dorsal/Posterior=== | ||
*Irreducible | *Flex wrist, then hyperextend the joint | ||
*Apply longitudinal traction followed by dorsal pressure to phalanx base | |||
*Irreducible dislocation likely due to entrapment of avulsion fracture, profundus tendor or volar plate | |||
**Without initial hyperextension, can be difficult to disengage from any trapped soft tissue | |||
*Post reduction, look for central slip rupture, which may lead to [[Boutonniere deformity]] | |||
===Volar/Anterior=== | |||
*Flex wrist then hyperflex the affected joint | |||
*Apply gentle traction then extend the joint | |||
*Often need open reduction due to volar plate entrapment | |||
Latest revision as of 16:01, 14 December 2022
- Consider digital block for pain control
Dorsal/Posterior
- Flex wrist, then hyperextend the joint
- Apply longitudinal traction followed by dorsal pressure to phalanx base
- Irreducible dislocation likely due to entrapment of avulsion fracture, profundus tendor or volar plate
- Without initial hyperextension, can be difficult to disengage from any trapped soft tissue
- Post reduction, look for central slip rupture, which may lead to Boutonniere deformity
Volar/Anterior
- Flex wrist then hyperflex the affected joint
- Apply gentle traction then extend the joint
- Often need open reduction due to volar plate entrapment