Template:DIP 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