Dislocations
Treatment
Diagnosis
Sequelae
Referral
100
Needs to be reduced ASAP and concurrent soft tissue injury treated
What is finger dislocation
100
After attempted reduction of DIP dislocation one should obtain...
What is post reduction radiographs
100
Common in crush injuries
What is tuft fractures (Distal Phalanx)
100
Causes stiffness with ROM and difficulty using the finger in the future
What is missed Volar plate injury
100
Merits referral to hand surgeon.
What is displaced, oblique or spiral finger fracture.
200
The most common type of finger dislocation.
What is dorsal dislocation of the PIP joint.
200
Splinting the distal interphalangeal joint in extension.
What is treatment of a Mallet Fracture
200
The direction that the MCP joint usually dislocates
What is Dorsal
200
Gentle active flexion of the involved finger will evaluate the stability of this
What is reduction of finger injuries
200
Amount of involved intra-articular surface at which you should refer finger fractures to a hand surgeon.
What is 30 percent.
300
This structure is usually damaged in dorsal dislocations of the PIP.
What is the Volar Plate
300
Usual treatment fo Middle or proximal phalanx fracture
What is Buddy taping and early ROM
300
Often leads to obvious doral deformity of the middle phalanx and volar plate tenderness.
What is a dorsal PIP dislocation.
300
hyperesthesia, pain and numbness common for up to six months following this injury
What is Tuft fracture
300
When a dislocation is unstable following a reduction or involves significant ligament tendon or soft tissue injury.
What are indications for referral to a hand specialist after a finger dislocation.
400
Studies that should be done on all finger dislocations.
What are AP, lateral and oblique X-rays?
400
Require splinting the DIP joint in constant EXTENSION for eight weeks.
What is Mallet fracture
400
Usually associated with fractures and soft tissue injury.
What is dislocation of the DIP joint.
400
Any flexion at all can interfere with healing and extend the treatment period or lead to deformity
What is Mallet fracture
400
Better than prolonged immobilization following reduction of Proximal phalangeal dislocation
What is short term splinting in flexion with early ROM and strengthening
500
Better than prolonged immobilization following reduction of a PIP dislocation
What is short term splinting in flexion with early active ROM and strengthening
500
In Dr Price's opinion, this injury is the most often diagnosed or treated in error by Family Docs
What is injury at the Metacarpal Trapezial joint of the thumb.
500
Occur at the insertion of the terminal finger extensor mechanism into the dorsal portion of the distal phalanx.
What is Mallet fractures
500
Often unstable and should be referred to a hand specialist
What is Displaced, oblique or spiral fractures of phanges
500
Results from forced hyperextension of a flexed DIP joint.
What is Avulsion fracture of the flexor digitorum profundus
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