Middle phalanx volar avulsion Fracture (larger avulsions with risk of dorsal subluxation)
PIP joint dorsal dislocations (reduced and stable)
Splint applied to dorsal surface of affected finger from distal finger nail to proximal Metacarpals
Tape the splint to finger over the MCP joint and the proximal phalanx
PIP should be able to freely flex, but limited in extension by the splint position
Start with the splint angled over the PIP to 45 degrees (maximal PIP extension is 45 degrees)
Decrease the angle by 15 degrees per week (45,30,15, and finally 0)
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This page was written by Scott Moses, MD, last revised on 5/31/2010 and last published on 9/7/2021.