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OrthoVellum

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Not affiliated with the Royal Australasian College of Surgeons.

Hand & Upper Limb
intermediate
X-Type

PIP Joint Dislocation

Finger Injuries

A 25-year-old basketball player presents after jamming his finger while catching a ball. The middle finger PIP joint appears dorsally angulated and deformed. Radiographs confirm a dorsal PIP dislocation without fracture. Closed reduction is performed successfully. Regarding PIP joint dislocations:

Mark each as TRUE or FALSE

A

PIP dislocations are classified by direction: dorsal (most common, ~80%), volar (rare, associated wi...

B

Dorsal dislocations may be stable (reducible and stable through full ROM), unstable (reduced positio...

C

Volar dislocations are most common; dorsal dislocations involve central slip injury; all PIP disloca...

D

Treatment of stable dorsal dislocations is buddy strapping with early active motion; unstable disloc...

E

Complications include stiffness (most common, especially with prolonged immobilization), chronic ins...

Answer the questions to see explanations

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