Template:DIP reduction: Difference between revisions
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===Reduction=== | ===Reduction=== | ||
[[ | ''Consider [[digital block]] for pain control'' | ||
====Dorsal==== | |||
*Flex wrist | |||
*Hyperextend the joint | |||
*Apply longitudinal traction followed by dorsal pressure to phalanx base | |||
*Irreducible cases due to entrapment of avulsion fracture, profundus tendor or volar plate | |||
**Without initial hyperextension, can be difficult to disengage from any trapped soft tissue | |||
*Post reduction, look for central slip rupture, which may lead to [[Boutonniere deformity]] | |||
====Volar==== | |||
*Often need open reduction due to volar plate entrapment | |||
*Flex wrist then hyperflex the affected joint | |||
*Apply gentle traction then extend the joint | |||
Revision as of 19:38, 25 February 2018
Reduction
Consider digital block for pain control
Dorsal
- Flex wrist
- Hyperextend the joint
- Apply longitudinal traction followed by dorsal pressure to phalanx base
- Irreducible cases due to entrapment of avulsion fracture, profundus tendor or volar plate
- Without initial hyperextension, can be difficult to disengage from any trapped soft tissue
- Post reduction, look for central slip rupture, which may lead to Boutonniere deformity
Volar
- Often need open reduction due to volar plate entrapment
- Flex wrist then hyperflex the affected joint
- Apply gentle traction then extend the joint