, 3 tweets, 3 min read Read on Twitter
#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
Missing some Tweet in this thread?
You can try to force a refresh.

Like this thread? Get email updates or save it to PDF!

Subscribe to Random Handom, MD
Profile picture

Get real-time email alerts when new unrolls are available from this author!

This content may be removed anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Follow Us on Twitter!

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just three indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!