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Intra-Articular Disorders

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IP Joint Dislocation at Thumb

Aka: IP Joint Dislocation at Thumb, Thumb Interphalangeal Joint Dislocation, Joint Dislocation at Thumb Interphalangeal Joint
  1. Exam
    1. Observe for open dislocation
  2. Management: Reduction (dorsal dislocation)
    1. Digital Nerve Block
    2. Flex the IP joint while applying traction
    3. Apply direct pressure to distal phalanx base
  3. 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
  4. 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]

Closed dislocation of interphalangeal joint of thumb (C1444065)

Concepts Injury or Poisoning (T037)
SnomedCT 5408005, 409765008
Spanish luxación cerrada de la articulación interfalángica del pulgar, luxación cerrada de la articulación interfalángica del pulgar (trastorno), luxación no expuesta de articulación interfalángica del pulgar (trastorno), luxación no expuesta de articulación interfalángica del pulgar
English Closed dislocation of interphalangeal joint of thumb (diagnosis), dislocation of thumb interphalangeal closed, Closed dislocation of interphalangeal joint of thumb, Closed dislocation of interphalangeal joint of thumb (disorder)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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