Hand and finger dislocations: Difference between revisions
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==Background== | |||
[[File:DIP, PIP and MCP joints of hand.jpg|thumb|Distal interphalangeal dislocation (DIP), proximal interphalangeal dislocation (PIP), and metacarpophalangeal dislocation (MCP) joints of the finger shown.]] | |||
[[File:Gray337.png|thumb|Volar/anterior finger anatomy.]] | |||
[[File:Gray338.png|thumb|Lateral finger anatomy.]] | |||
{{Hand anatomy}} | |||
==Types== | ==Types== | ||
{{Hand and finger dislocation types}} | {{Hand and finger dislocation types}} | ||
== | ==Clinical Features== | ||
[[File:Dislocated Finger.jpg|thumb|Right fifth phalanx dislocation.]] | |||
*See individual injury types for specific clinical features | |||
*In general, there is some history of traumatic injury with pain at the dislocated joint | |||
==Differential Diagnosis== | |||
{{Hand and finger injury DDX}} | |||
==Evaluation== | |||
===Workup=== | |||
===Diagnosis=== | |||
<gallery mode="packed"> | <gallery mode="packed"> | ||
File:MCCdislocation.png|[[Metacarpophalangeal dislocation (thumb)|MCP dislocation of thumb]] | File:MCCdislocation.png|[[Metacarpophalangeal dislocation (thumb)|MCP dislocation of thumb]] | ||
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</gallery> | </gallery> | ||
== | ==Management== | ||
*See individual injury type for specific management | |||
*In general, dislocations should be emergently reduced and then splinted | |||
==Disposition== | |||
*See individual injury type for specific disposition | |||
*In general, dislocations should all have orthopedic outpatient follow up after successful reduction | |||
==See Also== | ==See Also== | ||
*[[Hand and Finger Diagnoses (Main)]] | *[[Hand and Finger Diagnoses (Main)]] | ||
==External Links== | |||
==References== | ==References== | ||
Latest revision as of 17:35, 14 December 2022
Background
Hand Anatomy
- Volar = anterior = palmar
- Dorsal = posterior
Types
Hand and finger dislocations
- Finger dislocations
- Thumb dislocations
- Hand dislocations
Clinical Features
- See individual injury types for specific clinical features
- In general, there is some history of traumatic injury with pain at the dislocated joint
Differential Diagnosis
Hand and finger injuries
- Distal finger
- Other finger/thumb
- Boutonniere deformity
- Mallet finger
- Jammed finger
- Jersey finger
- Trigger finger
- Ring avulsion injury
- De Quervain tenosynovitis
- Infiltrative tenosynovitis
- Metacarpophalangeal ulnar ligament rupture (Gamekeeper's thumb)
- Hand
- Wrist
- Drummer's wrist
- Ganglion cyst
- Lunotriquetral ligament instability
- Scaphoid fracture
- Extensor digitorum tenosynovitis
- Compressive neuropathy ("bracelet syndrome")
- Intersection syndrome
- Snapping Extensor Carpi Ulnaris
- Vaughn Jackson syndrome
- General
Evaluation
Workup
Diagnosis
Management
- See individual injury type for specific management
- In general, dislocations should be emergently reduced and then splinted
Disposition
- See individual injury type for specific disposition
- In general, dislocations should all have orthopedic outpatient follow up after successful reduction