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Dislocated Pip Joint

By: Jason Toten and Zac Powers. Dislocated Pip Joint. What is a D islocated PIP Joint?. A dislocated PIP joint is an injury in which the intermediate phalange gets detached from the proximal phalange and is usually turned at an odd angle. How does it occur.

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Dislocated Pip Joint

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  1. By: Jason Toten and Zac Powers Dislocated Pip Joint

  2. What is a Dislocated PIP Joint? • A dislocated PIP joint is an injury in which the intermediate phalange gets detached from the proximal phalange and is usually turned at an odd angle.

  3. How does it occur • PIP joint dislocation occurs when trauma causes the bones in the middle joint of a finger to dislodge. This usually results in a very painful, swollen and bruised joint that does not move properly, if at all.

  4. How to treat • There are non-surgical ways of treating it, and surgical ways. • The non-surgical methods are icing the are, getting a splint or cast, realignment of the bones, or getting anti-inflammatory and pain reducing medicine. • The surgery required can vary from minimally invasive options, such as a manipulation with pins placed through the skin, to more invasive procedures like re-setting the fracture through an open incision with screws for fixation.

  5. Recovery • Rest soft tissue • Avoid prolonged immobilization • Avoid flexion contracture • Avoid re-Type I (hyperextension): no more than 1 week of splinting • • Type II (Dislocation): no more than 2-3 weeks of splinting • • Type III (Fracture-Dislocation): 3 weeks of splinting dislocation • Realistic patient expectations • Active motion at distal interphalangeal joint • Realistic patient expectations • Avoidance of infection

  6. Rehab • Early passive range-of-motion is a key to recovery. Motion is only allowed through the stable arc of motion. Too much movement too early can disrupt the healing bone and soft tissues. Gradually, the therapist will advance the motion to active-assisted (patient is allowed to move the finger through partial range-of-motion with help). In the case of dynamic distraction and external fixation (DDEF), active motion can be started right away since everything is stabilized with hardware. In summary, the results of treatment for fracture-dislocations of proximal interphalangeal (PIP) joints vary depending on the severity of the injury, stability, and approach (surgical versus nonsurgical). There is no set way to deal with these injuries that will always produce the best results

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