II. Exam

  1. Observe for open dislocation

III. Management: Reduction (dorsal dislocation)

  1. Digital Nerve Block
  2. Flex the IP joint while applying traction
  3. Apply direct pressure to distal phalanx base

IV. Management: Post-reduction

  1. Joint assessment
    1. Assess joint range of motion
    2. Assess collateral ligaments with MCP flexed
    3. XRay finger after reduction
  2. Immobilization
    1. Splint for 3 weeks in 20-30 degrees of flexion

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