Proximal Interphalangeal (PIP) dislocation of the left ring finger

Patient

Q: I have dislocated my ring (3rd) finger on my left hand at the second (middle) knuckle. Other than splinting (i have it taped to my other finger), is there anything else the doctor can do?

Doctor

A:    Interphalangeal (IP) joint dislocations of the fingers are common. Typically associated with forced hyperextension or hyperflexion of the fingers, they require immediate reduction. The IP joint is a hinge joint that allows only flexion and extension and consists of several ligamentous complexes. The treatment is basically:  after a successful reduction in the ER, splint, ice and elevation of the affected finger. After reduction, the affected joint most be assessed for flexor-extensor tendon function, active range of motion, localized tenderness, and instability in the medial-lateral and dorsal-volar directions. The joint is usually immobilized with a foam-padded splint immediately after reduction to prevent redislocation or instability. The Immobilization is kept for 14-21 days for a Proximal IP joint dislocation and 10-14 days for a Distal IP joint dislocation. Buddy taping (taped on the next finger) for 3-6 weeks thereafter allows active range of motion and prevents hyperextension.
 

Related Q&A

Q: I had sex for the first time with my now ex gf (unprotected) and barely 3days after, i noticed peeling on my penis ...

Q: A couple days ago I was preparing dinner on my stove. while i cutting chicken on one burner which i thought was off ,...

Q: I recently had lab work done. Some of it was abnormal. I have an ANA of 1:5120 and an anti DNA ds or >800. Does...

Q: My 2 year old and my 10 year old had t&a last thursay. I want know what the odds of them bleeding from here out. ...

Q: I have an extremely large, about the size of a baseball, painful red lump on my buttock. I am able to drain some bloo...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews