Template:DIP reduction: Difference between revisions
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===Reduction=== | ===Reduction=== | ||
*[[Digital block]] | *[[Digital block]] | ||
*Apply longitudinal traction | *Flex wrist | ||
*Hyperextend the joint | |||
*Apply longitudinal traction followed by dorsal pressure to phalanx base | |||
*Irreducible cases 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 | |||
**Consult orthopedics or hand | |||
*Post reduction, look for central slip rupture, which may lead to [[Boutonniere deformity]] | |||
Revision as of 14:23, 18 April 2017
Reduction
- Digital block
- Flex wrist
- Hyperextend the joint
- Apply longitudinal traction followed by dorsal pressure to phalanx base
- 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
- Consult orthopedics or hand
- Post reduction, look for central slip rupture, which may lead to Boutonniere deformity