Distal interphalangeal dislocation (finger) - Revision history

Rossdonaldson1 at 17:34, 14 December 2022

2022-12-14T17:34:49Z

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	[[File:DIP, PIP and MCP joints of hand.jpg\|thumb\|Distal interphalangeal dislocation (DIP), proximal interphalangeal dislocation (PIP), and metacarpophalangeal dislocation (MCP) joints of the finger shown.]]		[[File:DIP, PIP and MCP joints of hand.jpg\|thumb\|Distal interphalangeal dislocation (DIP), proximal interphalangeal dislocation (PIP), and metacarpophalangeal dislocation (MCP) joints of the finger shown.]]
	[[File:Gray337.png\|thumb\|Volar/anterior finger anatomy.]]		[[File:Gray337.png\|thumb\|Volar/anterior finger anatomy.]]
			[[File:Gray338.png\|thumb\|Lateral finger anatomy.]]
	*Uncommon due to firm attachment of skin and subcutaneous tissue to underlying bone		*Uncommon due to firm attachment of skin and subcutaneous tissue to underlying bone
	*Usually dorsal dislocation		*Usually dorsal dislocation

2022-12-14T16:53:21Z

Background

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	*Uncommon due to firm attachment of skin and subcutaneous tissue to underlying bone		*Uncommon due to firm attachment of skin and subcutaneous tissue to underlying bone
	*Usually dorsal dislocation		*Usually dorsal dislocation

			{{Hand anatomy}}

	==Clinical Features==		==Clinical Features==

2022-12-14T16:47:47Z

2022-12-14T16:47:18Z

Background

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	==Background==		==Background==
			[[File:DIP, PIP and MCP joints of hand.jpg\|thumb\|Distal interphalangeal dislocation (DIP), proximal interphalangeal dislocation (PIP), and metacarpophalangeal dislocation (MCP) joints of the finger shown.]]
			[[File:Gray337.png\|thumb\|Volar/anterior finger anatomy.]]
	*Uncommon due to firm attachment of skin and subcutaneous tissue to underlying bone		*Uncommon due to firm attachment of skin and subcutaneous tissue to underlying bone
	*Usually dorsal dislocation		*Usually dorsal dislocation

2022-12-02T20:23:59Z

Splinting

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	===[[Splinting]]===		===[[Splinting]]===
	*~~Splint~~ in extension ~~with dorsal splint~~		*Alumifoam splint on side of dislocation
			*10-20 degrees of flexion for dorsal dislocation, joint in extension for volar dislocation
			*Splint should not extend onto the palm

	==Disposition==		==Disposition==

2019-05-10T01:17:34Z

References

2019-02-09T11:32:52Z

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	==Background==		==Background==
	*Uncommon due to firm attachment of skin and ~~subq~~ tissue to underlying bone		*Uncommon due to firm attachment of skin and subcutaneous tissue to underlying bone
	**When dislocations do occur usually are dorsal ~~and are frequently open~~		*Usually dorsal dislocation

	==Clinical Features==		==Clinical Features==
	*Finger pain/deformity		*Finger pain/deformity at DIP joint

	==Differential Diagnosis==		==Differential Diagnosis==
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	===[[Splinting]]===		===[[Splinting]]===
	*Splint in extension with dorsal splint ~~x 3wk~~		*Splint in extension with dorsal splint

	==Disposition==		==Disposition==
	*~~Outpatient~~		*If closed dislocation and successfully reduced → Discharge with hand surgery follow-up
	**If ~~reduction successful~~, ~~follow up within two weeks with hand specialist~~		*If open or unable to be reduced in ED → hand surgery consult, likely admission

	==See Also==		==See Also==

2018-02-25T19:37:10Z

Differential Diagnosis

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	==Differential Diagnosis==		==Differential Diagnosis==
			{{DDX distal finger}}
	{{Hand and finger dislocation types}}		{{Hand and finger dislocation types}}

	~~{{Hand and finger injury DDX}}~~

	==Evaluation==		==Evaluation==

2017-09-26T12:15:12Z

Disposition

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	==Disposition==		==Disposition==
	*Outpatient		*Outpatient
	**If reduction, follow up within two weeks with hand specialist		**If reduction successful, follow up within two weeks with hand specialist


	==See Also==		==See Also==

2017-04-28T17:43:25Z

Differential Diagnosis

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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Hand and finger dislocation types}}		{{Hand and finger dislocation types}}

			{{Hand and finger injury DDX}}

	==Evaluation==		==Evaluation==

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	==See Also==		==See Also==
	*[[Hand and finger dislocations]]		*[[Hand and finger dislocations]]

			==External Links==

	==References==		==References==