Template:DIP reduction: Difference between revisions
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===Reduction=== | ===Reduction=== | ||
[[Digital block]] | |||
*Flex wrist | *Dorsal | ||
*Hyperextend the joint | **Flex wrist | ||
*Apply longitudinal traction followed by dorsal pressure to phalanx base | **Hyperextend the joint | ||
*Irreducible cases due to entrapment of avulsion fracture, profundus tendor or volar plate | **Apply longitudinal traction followed by dorsal pressure to phalanx base | ||
**Without initial hyperextension, can be difficult to disengage from any trapped soft tissue | **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]] | **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 15:08, 18 April 2017
Reduction
- 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