• +27 (0)21 879 4264
  • info@assicfitness.com
  • My account
  • Cart

  • Home
  • Applications
    • Resting Heart Rate
    • Recovery Heart Rate
    • Fitness
    • Performance Fingerprint
    • Strength and Conditioning
  • Health Professionals
    • Find your Professional
    • Book a Professional
  • Education
    • Know your Body
      • Body profile
      • Cardiac
      • Exercise/Rehab Routines
      • Fitness
      • Fluid Balance
      • Muscle
      • Bone/Tendon/Joint
      • My Surgery
      • Yoga
      • Nutrition
    • Blog
      • Articles
      • Monthly Routines
      • News and Opinion Pieces
    • COVID-19
      • What You Need to Know
      • Overview of COVID-19
      • COVID-19 Map
    • How to Use the Apps
      • Performance Fingerprint
      • COVID-19 Vitals
      • Connecting Professionals
    • Biomarkers
      • COVID-19
      • Infection/Inflammation
      • Endurance
      • Hydration
      • Performance Fatigue
      • Metabolism
      • Muscle Cramps
      • Nutrition
    • Medical
      • Hip
      • Knee
      • Ankle/Foot
      • Shoulder
      • Elbow
      • Wrist/Hand
      • Back
  • Health Calculators
  • About
    • Contributors
      • Become a Contributor
    • Partners
      • Lancet Laboratories
    • Professionals
    • Press
    • Professional Dual View Access Application
  • Contact
✕

Finger Dislocation

Categories
  • Hand
  • Joint/Tendon
Tags
  • Hand injury
Hand

Finger Dislocation

Muscles of the Forearm
Muscles of the Forearm
Dorsal view left hand

Dorsal view left hand

Volar view left hand

Volar view left hand

Finger Dislocation

Finger dislocation is a common sports injury. Finger proximal interphalangeal joint (PIP) dislocation may be dorsal or volar. Metacarpal phalangeal dislocations are rare and the mechanism is usually hyperextension of joint following a fall on the outstretched hand. The index finger most commonly involved with dorsal dislocation more frequent than the volar type.

Finger dislocation

PIP joint dislocation.

Dislocation dorsal or may be volar

Injury Mechanism:

  • Direct force to hand

Causes:

  • Falls on hand

Presentation:

  • Pain
  • Deformity

Clinically:

  • Deformity
  • Pain
  • Instability

Investigations:

X-ray:
  • Assess joint congruity
  • Look for V sign that is indicative of joint subluxation
  • Assess for associated fracture, with > 40 % joint involvement surgically significant

Management:

Nonoperative:
  • Simple, uncomplicated dislocations with congruent reduction without significant articular fracture can be treated with buddy strapping
  • After reduction assess congruency and assess the rotation by clinically assessing finger overlapping
Surgery for complex dislocations:
  • Joint incongruence
  • Intraarticular fracture with > 40 % joint involvement

Closed Reduction of PIP Joint Dislocation

Closed reduction of PIP joint dislocation
Finger Buddy strapping

Finger Buddy strapping

Rehabilitation for Simple Finger PIP Dislocations

  • Buddy strapping
  • Range of motion hand digital exercises
  • Active ROM with buddy strapping
  • Strengthening hand after union
Active wrist ROM after 2 weeks

Active wrist ROM after 2 weeks

Finger adduction strengthening

Finger adduction strengthening

Resisted finger extension

Finger abduction strengthening

Hand squeeze

Hand grip strengthening

Download ASSIC performance fingerprint or ASSIC strength & conditioning aps for rehabilitation guideline routines or create own routine under professional guidance

apple app store  google play store

Surgery: Repair Collateral Ligament

Repair collateral ligament

Surgery Technique

Surgery

Approach to Finger

Approach to finger

Skin incision

Deep resection:

  • Retract lateral band after skin incision
  • Periosteal incision and create subperiosteal flaps as needed for additional fracture ORIF

Surgery for Finger Collateral Ligament Repair

Surgery for finger collateral ligament repair
  • Approach: mid-axial incision
  • Fixation preparation: 1.3 mm anchor or tunnel
  • Suture torn ligament and fix to anchor or create tunnels for contralateral side fixation
  • Maintain fixation by keeping joint in protected position with K-wire for 3 weeks
  • Closure

Post Surgery Rehabilitation

  • Remove K-wire after 3-4 weeks
  • Keep palmar finger splint keeping PIP joint in full extension for 1-2 weeks with removal of splint intermittently with buddy strapping to regain protective ROM
  • Buddy strapping with increasing finger ROM
  • After 6 weeks active flexion and extension
  • Resume sporting activities after 12 weeks

References

  1. Common finger fractures and dislocations. JR Borchers, TM Best. Am Fam Physician. 2012 Apr 15;85(8): 805-10.
  2. Treating proximal interphalangeal joint dislocations. BH Saitta, JM Wolf. Hand Clin. 2018 May;34(2): 139-148.

Related posts

Knee Anatomy & Examination
Dec 7, 2021

Osgood Schlatter Disease


Read more
Knee Anatomy & Examination
Dec 7, 2021

Sinding Larsen Johansson Syndrome


Read more
Forearm Icon
Oct 28, 2021

Forearm Fractures


Read more
Humerus Icon
Oct 27, 2021

Humerus Fractures


Read more
assic fitness and health white logo

ASSIC is a pioneering technology based Sports Science Company designing tools to assist in personal fitness management for individuals and professional athletes.

Education

  • Home
  • Applications
  • Health Professionals
  • Education
  • Health Calculators
  • About
  • Contact

Our Applications

  • Resting Heart Rate
  • Recovery Heart Rate
  • Fitness
  • Strength and Conditioning
  • Performance Fingerprint
  • Medical Examination

Download our Applications

apple app store
google play store
© 2022 ASSIC Medical (PTY) Ltd. All Rights Reserved. Created and Hosted by: Lava Lamp Lab
0

R0.00

  • My account
  • Cart
✕

Login

Lost your password?

Create an account?

Change Location
Find awesome listings near you!