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Proximal Interphalangeal Joint Dislocation

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Proximal Interphalangeal Joint Dislocation, PIP Dislocation, Dislocation at Proximal Interphalangeal Joint

  • See Also
  1. Interphalangeal Joint Dislocation
  2. Dorsal PIP Dislocation
  3. Lateral PIP Dislocation
  4. Volar PIP Dislocation
  5. DIP Dislocation
  6. IP Joint Dislocation at Thumb
  7. Metacarpal-Phalangeal Dislocation
  • Epidemiology
  1. PIP Joint is the most commonly dislocated finger joint
  • Mechanism
  1. Hyperextension injury most common
  2. Common injury in athletes
  • Types
  1. Dorsal PIP Dislocation
  2. Lateral PIP Dislocation
  3. Volar PIP Dislocation
  • Complications
  1. General
    1. Risk of longterm stiffness
    2. Distal Phalanx Fracture
    3. Tendon Injury
  2. Dorsal PIP Dislocation (most common)
    1. Risk of Volar Plate Injury
  3. Volar PIP Dislocation (rare)
    1. Risk of Central slip rupture
    2. May result in Boutonniere Deformity
  • Imaging
  • Finger XRay before and after reduction
  1. Exclude avulsion Fracture
  2. Reduction may be attempted on sideline without XRay
  • Signs
  1. Grossly deformed digit
  • Management
  1. See Dorsal PIP Dislocation
  2. See Lateral PIP Dislocation
  3. See Volar PIP Dislocation
  • References
  1. Borchers (2012) Am Fam Physician 85(8): 805-10 [PubMed]
  2. Leggit (2006) Am Fam Physician 73(5): 827-34 [PubMed]
  3. Oetgen (2008) Curr Rev Musculoskelet Med 1(2):97-102 [PubMed]