Template:DIP reduction: Difference between revisions
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*Consider [[digital block]] for pain control | |||
===Dorsal=== | |||
*Flex wrist | *Flex wrist, then hyperextend the joint | ||
*Apply longitudinal traction followed by dorsal pressure to phalanx base | *Apply longitudinal traction followed by dorsal pressure to phalanx base | ||
*Irreducible | *Irreducible dislocation likely due to entrapment of avulsion fracture, profundus tendor or volar plate | ||
**Without initial hyperextension, can be difficult to disengage from any trapped soft tissue | **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=== | |||
*Flex wrist then hyperflex the affected joint | *Flex wrist then hyperflex the affected joint | ||
*Apply gentle traction then extend the joint | *Apply gentle traction then extend the joint | ||
*Often need open reduction due to volar plate entrapment | |||
Revision as of 11:35, 9 February 2019
- Consider digital block for pain control
Dorsal
- Flex wrist, then hyperextend the joint
- Apply longitudinal traction followed by dorsal pressure to phalanx base
- Irreducible dislocation likely 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
- Flex wrist then hyperflex the affected joint
- Apply gentle traction then extend the joint
- Often need open reduction due to volar plate entrapment