IP Joint Dislocation at Thumb


IP Joint Dislocation at Thumb, Thumb Interphalangeal Joint Dislocation, Joint Dislocation at Thumb Interphalangeal Joint

  • Exam
  1. Observe for open dislocation
  • Management
  • Reduction (dorsal dislocation)
  1. Digital Nerve Block
  2. Flex the IP joint while applying traction
  3. Apply direct pressure to distal phalanx base
  • 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