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9.26 Finger (PIP Joint) Dislocation


Presentation

The patient will have jammed his finger, causing a hyperextension injury that forces the middle phalanx dorsally and proximally out of articulation with the distal end of the proximal phalanx. An obvious deformity will be seen unless the patient or a bystander has reduced the dislocation on his own. There should be no sensory or vascular compromise.

What to do:

Discussion

If there is any doubt as to the competence of the central extensor slip or the volar carpal plate, the joint must be splinted in full extension for 3 weeks.

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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
Mark Smith, MD
Jon Handler, MD
Michael Gillam, MD