Discover and read the best of Twitter Threads about #DISLOCATION

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#PIP #DISLOCATION

Dorsal most common
Patients often reduce themselves
DIGITAL BLOCK

Flex wrist & MP to relax flexors, then gently reduce by PUSHING DISTALLY on P2 base rather than just pulling traction

Volar&rotatory dislocations oft require open reduction #medtwitter #foamed
MUST assess stability & xray post reduction

Good lateral is vital to make sure jt is concentric & no fx

If stable even in extension & no fx, buddy tape x3-6 wks

If unstable, dorsal blocking splint at 10 deg more flexion than unstable point

Or just refer to Hand

#medtwitter
Is this a concentric reduction? High-5 time?

NO!

The "dorsal V sign" indicates subtle instability that if untreated would lead to PIP arthritis

PIP arthritis SUCKS

PIP is the "soul of the hand"

#saveasoul
PIPs aren't simple!
=Presents Incredible Problems
#MEDTWITTER #foamed
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