#EMconf: Finger injuries
Thu, 06/15/2017 - 6:53am
- Phalynx dislocations are grouped into the direction of the dislocated fragment: Dorsal vs Volar
-Dorsal dislocations: most common type , associated with volar plate injuries at PIP joint
-Volar dislocations: associated with central slip injury of extensor tendon at PIP joint, unable to fully extend finger
-Refer to specialist if unable to fully extend finger, associated fracture fragment > 30-40% of articular surface, difficult reduction
-Splint finger in full extension if suspect central slip injury
- The following phalynx fractures need to be referred to a hand specialist:
-Intra-articular
-Spiral
-Oblique
-Unstable
-Displaced
Sources: -First Aid for the EM Boards, 3rd edition, Blok et. al
-Tintinalli's Emergency Medicine A Comprehensive Study Guide, 8th edition, Tintinalli et. al.