Template:DIP reduction

• 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