IP DISLOCATION

Question 1

Mechanism

Answer 1

Almost always dorsal from hyperextension injury

Question 2

XRAY Findings

Answer 2

Almost always dorwal dislocation

Question 3

Reduction steps

Answer 3

Gentle traction, increase deformity, then reduce

Question 4

Post-reduction steps

Answer 4

Assess joint stability by flexing and trying to sublux

Question 5

Post reduction management: unstable

Answer 5

Buddy tape
Splint immobilization
Hand specialist follow up

Question 6

Post reduction management: stable

Answer 6

Buddy tape ~ 3 weeks