II. Types
III. Mechanism
- Hyperextension injury most common
- Common injury in athletes
IV. Complications
- Longterm stiffness
- Phalanx Fracture
- Tendon Injury
V. Exam
- Ligament stability
- Motor function
- Sensation
- Distal circulation (Capillary Refill)
- Active joint range of motion
- Flexion
- Extension
- Finger alignment
- Extension
- Flexion
- Finger tips should not overlap
- Finger tips should all point towards thenar eminence
VI. Signs
- Grossly deformed digit
- Swelling
- Erythema
- Decreased range of motion
- Tenderness to palpation
VII. Imaging: Three View Finger XRay before and after reduction
- Exclude avulsion Fracture
- Reduction may be attempted on sideline without XRay
VIII. Management
- See Dorsal PIP Dislocation (most common, hyperextension injury)
- See Lateral PIP Dislocation
- See Volar PIP Dislocation
- See DIP Dislocation
- See IP Joint Dislocation at Thumb
- See Metacarpal-Phalangeal Dislocation
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Related Studies
Concepts | Injury or Poisoning (T037) |
ICD9 | 834.02 |
SnomedCT | 69120001 |
English | Closed dislocation of interphalangeal (joint), hand, Disl interphaln hand-cl, Closed traumatic dislocation of interphalangeal joint of hand (disorder), Closed dislocation of interphalangeal joint of hand, Closed dislocation of interphalangeal, hand, Closed dislocation of interphalangeal joint, hand |
Dutch | gesloten ontwrichting van interfalangeaal (gewricht), hand |
French | Luxation fermée de l'articulation interphalangienne de la main |
German | geschlossene Luxation des Interphalangealgelenks, Hand |
Italian | Lussazione chiusa interfalangea (articolazione), mano |
Portuguese | Luxação fechada de articulação interfalângica (mão) |
Spanish | Luxación cerrada (de articulación) interfalángica de la mano, luxación cerrada de la articulación interfalángica de la mano, luxación cerrada de la articulación interfalángica de la mano (trastorno) |
Japanese | 指節間(関節)閉鎖性脱臼、手, シセツカンカンセツヘイサセイダッキュウテ |
Czech | Zavřená luxace interfalangeálního (kloubu) ruky |
Hungarian | Interphalangealis (ízület) zárt luxatiója, kéz |