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IP Joint Dislocation at Thumb

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1. IP Joint Dislocation at Thumb

IP Joint Dislocation at Thumb IP Joint Dislocation at Thumb Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 IP Joint Dislocation (...) at Thumb IP Joint Dislocation at Thumb Aka: IP Joint Dislocation at Thumb , Thumb Interphalangeal Joint Dislocation , Joint Dislocation at Thumb Interphalangeal Joint From Related Chapters II. Exam Observe for open dislocation III. Management: Reduction (dorsal dislocation) Flex the IP joint while applying traction Apply direct pressure to distal phalanx base IV. Management: Post-reduction Joint assessment Assess joint range of motion Assess collateral ligaments with MCP flexed XRay finger after

2018 FP Notebook

2. Thumb Interphalangeal Joint Dislocation (Full text)

Thumb Interphalangeal Joint Dislocation 26816560 2016 01 28 2019 02 26 1937-5719 16 2016 Eplasty Eplasty Thumb Interphalangeal Joint Dislocation. ic2 Brown Darnell J DJ Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ. Parcells Alexis L AL Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ. Granick Mark S MS Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ. eng Case Reports 2016 01 11 United States Eplasty 101316107 1937-5719 IP dislocation of thumb open (...) thumb IPJ dislocation thumb IPJ dislocation thumb dislocation thumb interphalangeal (IP) joint dislocation 2016 1 28 6 0 2016 1 28 6 0 2016 1 28 6 1 epublish 26816560 PMC4714624 J Hand Surg Am. 2010 Mar;35(3):422-4 20117885 J Bone Joint Surg Am. 1978 Apr;60(3):400-1 649647 J Hand Surg Am. 1995 May;20(3):487-9 7642933 J Postgrad Med. 1996 Jan-Mar;42(1):30-1 9715295

2016 Eplasty PubMed

3. IP Joint Dislocation at Thumb

IP Joint Dislocation at Thumb IP Joint Dislocation at Thumb Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 IP Joint Dislocation (...) at Thumb IP Joint Dislocation at Thumb Aka: IP Joint Dislocation at Thumb , Thumb Interphalangeal Joint Dislocation , Joint Dislocation at Thumb Interphalangeal Joint From Related Chapters II. Exam Observe for open dislocation III. Management: Reduction (dorsal dislocation) Flex the IP joint while applying traction Apply direct pressure to distal phalanx base IV. Management: Post-reduction Joint assessment Assess joint range of motion Assess collateral ligaments with MCP flexed XRay finger after

2015 FP Notebook

4. Joint Reduction, Thumb Dislocation

Dislocation Updated: Apr 13, 2017 Author: Moira Davenport, MD; Chief Editor: Erik D Schraga, MD Share Email Print Feedback Close Sections Sections Reduction of Thumb Dislocation Overview Background Despite the inherent stability of the joints of the thumb, the vulnerable anatomic position of the first phalanx often subjects the joints to mechanical strain that leads to subluxation or dislocation of the metacarpophalangeal (MCP) and interphalangeal (IP) joints. (See the image below.) These and other thumb (...) of the fragments. Dislocation of the IP joint occurs to a much lesser extent than dislocation of the MCP joint does. These injuries are most commonly dorsal and are often associated with disruption of the overlying skin and soft tissues. Although rare cases of multiple simultaneous thumb joint dislocations, including the IP, MCP, and proximal carpometacarpal (CMC) or trapeziometacarpal (TMC) joints, have been reported in the literature, most thumb dislocations involve only a single joint

2014 eMedicine.com

5. Hand, Fracture and Dislocations: Thumb

the mobility of the thumb allows for more acceptance of angulation and rotation. [ ] Mallet thumb Closed mallet thumb injuries are uncommon. The mechanism of closed injury is usually secondary to an acute forceful flexion of the thumb IP joint, leading to an avulsion of the extensor tendon with or without a bony fragment at its distal phalangeal insertion. The open injury secondary to laceration of the distal portion of the extensor tendon is more frequent. Thumb IP dislocations The IP joint of the thumb (...) phalangeal fractures may involve the nail bed. Carefully evaluate the sterile and germinal matrices if the nail bed is involved. Mallet Thumb Mallet thumb presents with the thumb in a slightly flexed posture and an inability to extend the thumb at the IP joint. These may be due to closed injury or an open laceration. Thumb IP Dislocations Thumb IP dislocations usually are dorsal and are easily recognized by the deformity created by the distal phalanx riding dorsal to the distal end of the proximal

2014 eMedicine Surgery

6. Metacarpophalangeal Joint Dislocation (Diagnosis)

. Simultaneous dislocation of the metacarpophalangeal and interphalangeal joints of the thumb. Scand J Plast Reconstr Surg Hand Surg . 2002. 36(6):376-8. . Inoue G, Miura T. Locked metacarpo-phalangeal joint of the thumb. J Hand Surg [Br] . 1988 Nov. 13(4):469-73. . Beck JD, Klena JC. Closed reduction and treatment of 2 volar thumb metacarpophalangeal dislocations: report of 2 cases. J Hand Surg Am . 2011 Apr. 36(4):665-9. . Ip KC, Wong LY, Yu SJ. Dorsal dislocation of the metacarpophalangeal joint (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTgyMzAtb3ZlcnZpZXc= processing > Metacarpophalangeal Joint Dislocation Updated: May 24, 2017 Author: Matthew Gammons, MD; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Metacarpophalangeal Joint Dislocation Overview Background Sprains and dislocations of the metacarpophalangeal (MCP) joint of the finger are relatively rare due to the protected position of this joint in the hand. [ , , , ] Injuries to the MCP joint of the thumb are more common, although these usually consist

2014 eMedicine.com

7. Metacarpophalangeal Joint Dislocation (Overview)

. Simultaneous dislocation of the metacarpophalangeal and interphalangeal joints of the thumb. Scand J Plast Reconstr Surg Hand Surg . 2002. 36(6):376-8. . Inoue G, Miura T. Locked metacarpo-phalangeal joint of the thumb. J Hand Surg [Br] . 1988 Nov. 13(4):469-73. . Beck JD, Klena JC. Closed reduction and treatment of 2 volar thumb metacarpophalangeal dislocations: report of 2 cases. J Hand Surg Am . 2011 Apr. 36(4):665-9. . Ip KC, Wong LY, Yu SJ. Dorsal dislocation of the metacarpophalangeal joint (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTgyMzAtb3ZlcnZpZXc= processing > Metacarpophalangeal Joint Dislocation Updated: May 24, 2017 Author: Matthew Gammons, MD; Chief Editor: Craig C Young, MD Share Email Print Feedback Close Sections Sections Metacarpophalangeal Joint Dislocation Overview Background Sprains and dislocations of the metacarpophalangeal (MCP) joint of the finger are relatively rare due to the protected position of this joint in the hand. [ , , , ] Injuries to the MCP joint of the thumb are more common, although these usually consist

2014 eMedicine.com

8. Metacarpophalangeal Joint Dislocation (Treatment)

Joint Surg Am . 1957 Oct. 39-A(5):1081-6. . . Tabib W, Sayegh S. Simultaneous dislocation of the metacarpophalangeal and interphalangeal joints of the thumb. Scand J Plast Reconstr Surg Hand Surg . 2002. 36(6):376-8. . Inoue G, Miura T. Locked metacarpo-phalangeal joint of the thumb. J Hand Surg [Br] . 1988 Nov. 13(4):469-73. . Beck JD, Klena JC. Closed reduction and treatment of 2 volar thumb metacarpophalangeal dislocations: report of 2 cases. J Hand Surg Am . 2011 Apr. 36(4):665-9. . Ip KC, Wong (...) for 3 weeks. After closed reduction, a dorsal extension-block splint, including the wrist, is used for at least 3 weeks in MCP joint dorsal dislocations. Active motion within the splint is started during the first week. Following closed reduction, the thumb is immobilized in a forearm-based thumb spica splint or cast with the MCP joint in extension for 4-6 weeks in thumb MCP joint volar dislocations. Thumb radial collateral ligament injuries may be treated in a forearm-based or hand-based thumb

2014 eMedicine.com

9. Metacarpophalangeal Joint Dislocation (Follow-up)

, Klena JC. Closed reduction and treatment of 2 volar thumb metacarpophalangeal dislocations: report of 2 cases. J Hand Surg Am . 2011 Apr. 36(4):665-9. . Ip KC, Wong LY, Yu SJ. Dorsal dislocation of the metacarpophalangeal joint of the thumb: a case report. J Orthop Surg (Hong Kong) . 2008 Apr. 16(1):124-6. . . Vadala CJ, Ward CM. Dorsal Approach Decreases Operative Time for Complex Metacarpophalangeal Dislocations. J Hand Surg Am . 2016 Sep. 41 (9):e259-62. . Dinh P, Franklin A, Hutchinson B (...) . Metacarpophalangeal joint injuries of the thumb. Hand Clin . 1992 Nov. 8(4):713-32. . KAPLAN EB. Dorsal dislocation of the metacarpophalangeal joint of the index finger. J Bone Joint Surg Am . 1957 Oct. 39-A(5):1081-6. . . Tabib W, Sayegh S. Simultaneous dislocation of the metacarpophalangeal and interphalangeal joints of the thumb. Scand J Plast Reconstr Surg Hand Surg . 2002. 36(6):376-8. . Inoue G, Miura T. Locked metacarpo-phalangeal joint of the thumb. J Hand Surg [Br] . 1988 Nov. 13(4):469-73. . Beck JD

2014 eMedicine.com

10. Joint Reduction, Finger Dislocation

of the collateral ligaments. They are usually dorsal, and the second and fifth digits are more commonly affected because of their lesser protection from neighboring digits. Dislocations of the thumb IP joint are rare because of the significant stability of the IP joint. Thumb IP joint dislocations are usually dorsal and usually occur in association with a fracture. They may be associated with a rupture of the flexor pollicis longus. Dislocations of the thumb MCP joint are primarily dorsal and caused (...) (typically, lateral dislocations) Axial load Injury caused by direct pressure or crushing Types of dislocations Dislocations of the distal IP (DIP) joint of the second through fifth digits are relatively uncommon because of the stability afforded by the DIP joint’s flexor and extensor tendinous attachments. [ , ] Of the DIP joint dislocations that do occur, most are dorsal and are in combination with an open fracture. Dislocations of the proximal IP (PIP) joint of the second through fifth digits

2014 eMedicine.com

11. Modified Extensor Pollicis Longus Rerouting Technique for Boutonniere Deformity of the Thumb in Rheumatoid Arthritis. (PubMed)

) or moderate (16 thumbs). After either metacarpophalangeal (MCP) joint synovectomy or implant arthroplasty, the ulnarly dislocated EPL tendon was reduced dorsally and sutured to the dorsal base of the proximal phalanx. If the interphalangeal (IP) joint extended with manual traction on the proximal portion of the extensor pollicis brevis tendon, no further treatment was considered. If the IP joint did not extend with this maneuver, the insertion of the extensor pollicis brevis tendon was dissected (...) °) at the final follow-up. The average combined MCP and IP motion did not significantly change. The boutonniere deformity was improved in 18 of 21 thumbs. The 3 failures all had moderate-stage deformity prior to treatment.A modified EPL rerouting technique provided satisfactory results together with a low risk of IP joint extension loss.Therapeutic IV.Copyright © 2016 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2016 Journal of Hand Surgery - American

12. Joint Hypermobility - Identification and Management of

findings include: shoulder, scapular, wrist, and thumb carpalmetacarpal (CMC) instability; hyperextension of knees and elbows, MCPs, interphalangeal joints (IPs); increased hip internal rotation (IR) and external rotation (ER) (LocalConsensus 2014 [5]). ? Spinal segmental mobility (Kim 2013 [4a], Murray 2006 [5a]) ? Range of motion (ROM) (Simmonds 2008 [5a], Russek 2000 [5a]) ? Integumentary (presence of thin atrophic scarring, elasticity, and/or striae) (Simmonds 2007 [5a], Murray 2006 [5a], Hakim (...) (Simmonds 2007 [5a]). The Beighton Scale, although widely used, lacks a comprehensive screen of all joints and does not account for the presence of JH in certain joints such as interphalangeal (IP) joints, hips, ankles and shoulders (LocalConsensus 2014 [5]). Note 2: A Beighton Scale score of 5/9 or greater is used to classify JH (Scheper 2013 [1b], Junge 2013 [2b], Beighton 1998 [5a]). However 4/9 was also frequently used to classify JH in the literature reviewed for this guideline. 3

2014 Cincinnati Children's Hospital Medical Center

13. Gamekeeper's Thumb (Follow-up)

weeks (see the images below). The cast should be well molded around the MCP joint, and the interphalangeal (IP) joint can be left free. With appropriate closed treatment, good-to-excellent results can be expected in 90% of such injuries. [ ] Anterior view of hand in thumb spica splint. Lateral view of hand in thumb spica splint. Nonsurgical treatment can also be considered in patients who either refuse surgery or are too infirm to tolerate a surgical procedure. In these patients, a functional brace (...) : Postoperative Care Postoperatively, place the patient's thumb in a spica splint, and begin carefully monitored ROM exercises of the IP and MCP joints. Alternatively, total cast immobilization for 4 weeks can be used; at 4 weeks after surgery, a removable thumb spica cast can be fabricated, and light activities of daily living (ADLs) can be initiated. The brace should be removed only for performing exercises and for hygiene. Previous Next: Complications Chronic instability is a complication of UCL rupture

2014 eMedicine Surgery

14. Gamekeeper's Thumb (Treatment)

weeks (see the images below). The cast should be well molded around the MCP joint, and the interphalangeal (IP) joint can be left free. With appropriate closed treatment, good-to-excellent results can be expected in 90% of such injuries. [ ] Anterior view of hand in thumb spica splint. Lateral view of hand in thumb spica splint. Nonsurgical treatment can also be considered in patients who either refuse surgery or are too infirm to tolerate a surgical procedure. In these patients, a functional brace (...) : Postoperative Care Postoperatively, place the patient's thumb in a spica splint, and begin carefully monitored ROM exercises of the IP and MCP joints. Alternatively, total cast immobilization for 4 weeks can be used; at 4 weeks after surgery, a removable thumb spica cast can be fabricated, and light activities of daily living (ADLs) can be initiated. The brace should be removed only for performing exercises and for hygiene. Previous Next: Complications Chronic instability is a complication of UCL rupture

2014 eMedicine Surgery

15. Dislocation, Interphalangeal (Diagnosis)

Dislocation Updated: Nov 12, 2015 Author: Grace M Young, MD; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Interphalangeal Dislocation Overview Background Interphalangeal (IP) joint dislocations of the fingers and toes are common. [ , ] Typically associated with forced hyperextension or hyperflexion of the digit, they require immediate reduction. The IP joint is a hinge joint that allows only flexion and extension and consists of several ligamentous complexes (...) . The volar plate provides stability against hyperextension injury and dorsal dislocation of the phalanx. It often ruptures during a dorsal dislocation and may be associated with an avulsion fracture at the base of the phalanx. The strong collateral ligament complex resists hyperextension and lateral dislocation injury. The extensor hood complex stabilizes against hyperflexion injury and volar displacement of the phalanx. Dislocations of the distal IP (DIP) joint of the fingers are often associated

2014 eMedicine Emergency Medicine

16. Dislocation, Interphalangeal (Overview)

Dislocation Updated: Nov 12, 2015 Author: Grace M Young, MD; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Interphalangeal Dislocation Overview Background Interphalangeal (IP) joint dislocations of the fingers and toes are common. [ , ] Typically associated with forced hyperextension or hyperflexion of the digit, they require immediate reduction. The IP joint is a hinge joint that allows only flexion and extension and consists of several ligamentous complexes (...) . The volar plate provides stability against hyperextension injury and dorsal dislocation of the phalanx. It often ruptures during a dorsal dislocation and may be associated with an avulsion fracture at the base of the phalanx. The strong collateral ligament complex resists hyperextension and lateral dislocation injury. The extensor hood complex stabilizes against hyperflexion injury and volar displacement of the phalanx. Dislocations of the distal IP (DIP) joint of the fingers are often associated

2014 eMedicine Emergency Medicine

17. The Approach to the Painful Joint (Treatment)

be due to laxity of ligaments or to destruction of the articular surface. Specific techniques for detecting arthritis in individual joints To detect synovial effusions in interphalangeal (IP) joints, gently squeeze the superolateral joint lines with the thumb and index finger while palpating the volar and dorsal sides with the opposite thumb and finger. Use the fingers to detect a ballooning effect as pressure is applied to the IP joint. To detect metacarpophalangeal (MCP) joint synovitis, gently (...) or valgus deformity of the knee). The third is an alteration in the relation of the 2 articulating surfaces, such as subluxation (ie, some contact between the articulating surfaces) or dislocation (ie, complete loss of contact between the articulating surfaces). General techniques of musculoskeletal examination Techniques used in the musculoskeletal examination include the following: Inspection Palpation Assessment of range of motion On inspection, each joint has a characteristic or normal appearance

2014 eMedicine.com

18. The Approach to the Painful Joint (Overview)

be due to laxity of ligaments or to destruction of the articular surface. Specific techniques for detecting arthritis in individual joints To detect synovial effusions in interphalangeal (IP) joints, gently squeeze the superolateral joint lines with the thumb and index finger while palpating the volar and dorsal sides with the opposite thumb and finger. Use the fingers to detect a ballooning effect as pressure is applied to the IP joint. To detect metacarpophalangeal (MCP) joint synovitis, gently (...) or valgus deformity of the knee). The third is an alteration in the relation of the 2 articulating surfaces, such as subluxation (ie, some contact between the articulating surfaces) or dislocation (ie, complete loss of contact between the articulating surfaces). General techniques of musculoskeletal examination Techniques used in the musculoskeletal examination include the following: Inspection Palpation Assessment of range of motion On inspection, each joint has a characteristic or normal appearance

2014 eMedicine.com

19. The Approach to the Painful Joint (Follow-up)

be due to laxity of ligaments or to destruction of the articular surface. Specific techniques for detecting arthritis in individual joints To detect synovial effusions in interphalangeal (IP) joints, gently squeeze the superolateral joint lines with the thumb and index finger while palpating the volar and dorsal sides with the opposite thumb and finger. Use the fingers to detect a ballooning effect as pressure is applied to the IP joint. To detect metacarpophalangeal (MCP) joint synovitis, gently (...) or valgus deformity of the knee). The third is an alteration in the relation of the 2 articulating surfaces, such as subluxation (ie, some contact between the articulating surfaces) or dislocation (ie, complete loss of contact between the articulating surfaces). General techniques of musculoskeletal examination Techniques used in the musculoskeletal examination include the following: Inspection Palpation Assessment of range of motion On inspection, each joint has a characteristic or normal appearance

2014 eMedicine.com

20. The Approach to the Painful Joint (Diagnosis)

be due to laxity of ligaments or to destruction of the articular surface. Specific techniques for detecting arthritis in individual joints To detect synovial effusions in interphalangeal (IP) joints, gently squeeze the superolateral joint lines with the thumb and index finger while palpating the volar and dorsal sides with the opposite thumb and finger. Use the fingers to detect a ballooning effect as pressure is applied to the IP joint. To detect metacarpophalangeal (MCP) joint synovitis, gently (...) or valgus deformity of the knee). The third is an alteration in the relation of the 2 articulating surfaces, such as subluxation (ie, some contact between the articulating surfaces) or dislocation (ie, complete loss of contact between the articulating surfaces). General techniques of musculoskeletal examination Techniques used in the musculoskeletal examination include the following: Inspection Palpation Assessment of range of motion On inspection, each joint has a characteristic or normal appearance

2014 eMedicine.com

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