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Hand & Upper Limb
intermediate
X-Type

Finger Dislocations - PIP Joint and Volar Plate Injuries

Finger Injuries

A 28-year-old volleyball player presents after jamming her right middle finger during a game. Examination reveals swelling and deformity of the PIP joint. The lateral radiograph shows the middle phalanx displaced dorsal to the proximal phalanx with no visible fracture. Regarding PIP joint dislocations:

Mark each as TRUE or FALSE

A

Dorsal PIP dislocations are the most common type and result from hyperextension injury; the volar pl...

B

Volar PIP dislocations are less common and result from a volar-directed force on a semiflexed finger...

C

Lateral PIP dislocations occur from a radially or ulnarly directed force and tear the volar plate on...

D

Dorsal fracture-dislocations involve a volar lip fracture of the middle phalanx base; stability depe...

E

The "V-sign" on lateral radiograph indicates a congruent joint; loss of the V-sign suggests subluxat...

Answer the questions to see explanations

Click T (True) or F (False) for each option