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DIP Dislocation, Sports Medicine

Patrick Jenkins, III, MD, Tenley Murphy, MD, FAAFP, CAQSM and Jason J. Stacy, MD Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Dislocations of distal interphalangeal (DIP) or 1st interphalangeal (IP) joints

  • Mechanism is typically a hyperextension injury of the DIP joint.

  • Synonym(s): jammed finger

EPIDEMIOLOGY

Incidence

DIAGNOSIS

HISTORY

  • Mechanism of injury (i.e., hyperextension)

  • Presence of an obvious deformity (i.e., distal phalanx positioned above or below the plane of the middle phalanx)

  • Often self-reduced by the pa...

TREATMENT

GENERAL MEASURES

  • Reduction techniques:

    • On-field reduction should be attempted to reduce pain and usually is easily performed when done immediately 4[C].

    • Technique for reduction: Maintaining pro...

REFERENCES

1
Bielak KM, Kafka J, Terrell T. Treatment of hand and wrist injuries. Prim Care.  2013;40(2):431–451.
2
Chen F, Kalainov DM. Phalanx fractures and dislocations in athletes. Curr Rev Musc...

CLINICAL PEARLS

  • Athletes can return to play immediately if dislocation is uncomplicated, successfully reduced, and the athlete is allowed to play in a splint or cast.

  • Thumb IP dislocations should be tr...

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