Dislocation of the proximal interphalangeal (PIP) joint
Hinge joint allowing flexion and extension with little lateral movement because collateral ligaments are tight through entire r...
Ascertain the direction of dislocation if already reduced.
Determine mechanism: Dislocated finger may be due to forced hyperextension or hyperflexion of digit from traumatic athletic i...
Determine stability: generally, fractures involving joint <30% stable, 30–50% borderline, >50% unstable.
If stable, can proceed nonoperatively
Dorsal dislocation: reduction:
If reduced be...
Mangelson JJ, Stern P, Abzug JM, et al. Complications following dislocations of the proximal interphalangeal joint. J Bone Surg Am. 2013;95(14):1326–1332.
Pang EQ, Yao J. Anato...
Return to play can be immediate with “buddy taping” or if able to play in splint.
Volar lip fracture involves >20–70% of articular surface. Joint is unstable after reduction and requ...
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