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Finger Proximal Interphalangeal Joint Dislocation
Denise Ramponi1, Mary Jo Cerepani
1School of Nursing & Health Sciences, Robert Morris University, Moon Township, Pittsburgh, Pennsylvania (Dr Ramponi); Heritage Valley Health System, Sewickley, Pennsylvania (Dr Ramponi); Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (Dr Cerepani).
Abstract:
Finger dislocations are common injuries that are often managed by emergency nurse practitioners. A systematic physical examination following these injuries is imperative to avoid complications. Radiographic views, including the anteroposterior, lateral, and oblique views, are imperative to evaluate these finger dislocations. A dorsal dislocation of the proximal interphalangeal (PIP) joint is the most common finger dislocation type often easily reduced. A volar PIP dislocation can often be difficult to reduce and may result in finger deformity. Finger dislocations should be reduced promptly. Referral to an orthopedic hand specialist is required if the dislocation is unable to be reduced or if the finger joint is unstable following reduction attempts.
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