II. Indications
- Middle phalanx volar avulsion Fracture (larger avulsions with risk of dorsal subluxation)
- PIP joint dorsal dislocations (reduced and stable)
III. Images
IV. Technique
- Application
- 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
- 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)