Template:DIP reduction
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