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Volar PIP Dislocation

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Volar PIP Dislocation, Volar Proximal Interphalangeal Joint Dislocation, Finger Dislocation at Volar PIP Joint

  • Epidemiology
  • Signs
  • Central Slip Injury
  1. Inability to extend finger at PIP joint
  • Imaging
  1. Check Post-reduction films for Fracture
  • Management
  1. Reduction
    1. Use similar method as for Dorsal DIP Dislocation
  2. Post-reduction (If reduction completed)
    1. Splint only the PIP in full extension for 6 weeks
  3. Referral Indications
    1. Early orthopedic Consultation in most cases
    2. Fracture involves more than 30-40% of intra-articular surface
    3. Difficult or unsuccessful reduction
    4. Patient unable to fully extend finger
  • Complications
  1. Difficult reduction with often interposed soft tissue
  2. Usually associated with central slip disruption (avulsion)
  3. Frequently associated with Boutonniere Deformity