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Template:DIP reduction
From WikEM
Reduction
- Dorsal
- 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
- Post reduction, look for central slip rupture, which may lead to Boutonniere deformity
- Volar
- Often need open reduction due to volar plate entrapment
- Flex wrist then hyperflex the affected joint
- Apply gentle traction then extend the joint
