Template:DIP reduction: Difference between revisions

Latest revision as of 16:01, 14 December 2022

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

@@ Line 1: / Line 1: @@
-===Reduction===
+*Consider [[digital block]] for pain control
-[[Digital block]]
-*Dorsal
+===Dorsal/Posterior===
-**Flex wrist
+*Flex wrist, then hyperextend the joint
-**Hyperextend the joint
+*Apply longitudinal traction followed by dorsal pressure to phalanx base
-**Apply longitudinal traction followed by dorsal pressure to phalanx base
+*Irreducible dislocation likely due to entrapment of avulsion fracture, profundus tendor or volar plate
-**Irreducible cases due to entrapment of avulsion fracture, profundus tendor or volar plate
+**Without initial hyperextension, can be difficult to disengage from any trapped soft tissue
-***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]]
-**Post reduction, look for central slip rupture, which may lead to [[Boutonniere deformity]]
-*Volar
+===Volar/Anterior===
-**Often need open reduction due to volar plate entrapment
+*Flex wrist then hyperflex the affected joint
-**Flex wrist then hyperflex the affected joint
+*Apply gentle traction then extend the joint
-**Apply gentle traction then extend the joint
+*Often need open reduction due to volar plate entrapment