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===Reduction===
===Reduction===
*[[Digital block]]
*[[Digital block]]
*Apply longitudinal traction/hyperextension followed by dorsal pressure to phalanx base
*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
*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
**Consult orthopedics or hand
*Post reduction, look for central slip rupture, which may lead to [[Boutonniere deformity]]

Revisión del 14:23 18 abr 2017

Reduction

  • Digital block
  • 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
    • Consult orthopedics or hand
  • Post reduction, look for central slip rupture, which may lead to Boutonniere deformity