DIP Dislocation

Aka: DIP Dislocation, Distal Interphalangeal Joint Dislocation, Finger Dislocation at DIP Joint

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II. Mechanism

  1. Usually dorsal dislocation
  2. Typically related to Trauma
  3. Often occurs when ball strikes tip of finger

III. Differential Diagnosis

  1. Mallet Finger (Extensor tendon rupture)

IV. Management: Reduction

  1. Digital Nerve Block
  2. Apply traction while hyperextending dip joint
  3. Apply pressure to base of distal phalanx
  4. Return phalanx to position by flexing dip joint

V. Management: Post-Reduction

  1. Post-reduction joint assessment
    1. Assess joint range of motion
    2. Assess collateral ligaments with DIP flexed
  2. Immobilization
    1. Dorsal splint for 2 weeks in 20-30 degrees of flexion
  3. Referral Indications
    1. Complicated dislocation

VI. Complications

  1. Often associated with open Fractures

VII. References

  1. Borchers (2012) Am Fam Physician 85(8): 805-10 [PubMed]
  2. Leggit (2006) Am Fam Physician 73(5): 827-34 [PubMed]
  3. Oetgen (2008) Curr Rev Musculoskelet Med 1(2):97-102 [PubMed]

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Related Studies (from Trip Database) Open in New Window

Ontology: Closed traumatic dislocation, distal interphalangeal joint (C0434642)

Concepts Injury or Poisoning (T037)
SnomedCT 208861003
English Cls traumatic disloctn DIPJ, dislocation of joint of digit closed traumatic, distal interphalangeal, closed traumatic dislocation of distal interphalangeal joint, closed traumatic dislocation of distal interphalangeal joint (diagnosis), Closed traumatic dislocation, distal interphalangeal joint, Closed traumatic dislocation, distal interphalangeal joint (disorder)
Spanish luxación traumática no expuesta de articulación interfalángica distal (trastorno), luxación traumática no expuesta de articulación interfalángica distal
Derived from the NIH UMLS (Unified Medical Language System)

Related Topics in Hand Disorders

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