Hand Dislocation: Multimedia

References

1. Isani A, Melone CP Jr. Ligamentous injuries of the hand in athletes. Clin Sports Med. Oct 1986;5(4):757-72. [Medline].

2. Kahler DM, McCue FC 3rd. Metacarpophalangeal and proximal interphalangeal joint injuries of the hand, including the thumb. Clin Sports Med. Jan 1992;11(1):57-76. [Medline].

3. Lairmore JR, Engber WD. Serious, often subtle, finger injuries. Avoiding diagnosis and treatment pitfalls. Phys Sportsmed. 1998;26(6):57-69.

4. Bach AW. Finger joint injuries in active patients: pointers for acute and late-phase management. Phys Sportsmed. 1999;27(3).

5. Mall NA, Carlisle JC, Matava MJ, Powell JW, Goldfarb CA. Upper extremity injuries in the National Football League: part I: hand and digital injuries. Am J Sports Med. Oct 2008;36(10):1938-44. [Medline].

6. Lubahn JD. Dorsal fracture dislocations of the proximal interphalangeal joint. Hand Clin. Feb 1988;4(1):15-24. [Medline].

7. Hubbard LF. Metacarpophalangeal dislocations. Hand Clin. Feb 1988;4(1):39-44. [Medline].

8. Gurland M. Carpometacarpal joint injuries of the fingers. Hand Clin. Nov 1992;8(4):733-44. [Medline].

9. Inoue G, Maeda N. Irreducible palmar dislocation of the proximal interphalangeal joint of the finger. J Hand Surg [Am]. Mar 1990;15(2):301-4. [Medline].

10. Kovacic J, Bergfeld J. Return to play issues in upper extremity injuries. Clin J Sport Med. Nov 2005;15(6):448-52. [Medline].

11. Freiberg A, Pollard BA, Macdonald MR, Duncan MJ. Management of proximal interphalangeal joint injuries. J Trauma. Mar 1999;46(3):523-8. [Medline].

12. McDevitt ER. Treatment of PIP joint dislocations. Phys Sportsmed. 1998;26(8):85-6.

13. Melone CP Jr. Joint injuries of the fingers and thumb. Emerg Med Clin North Am. May 1985;3(2):319-31. [Medline].

14. Thayer DT. Distal interphalangeal joint injuries. Hand Clin. Feb 1988;4(1):1-4. [Medline].

15. Vicar AJ. Proximal interphalangeal joint dislocations without fractures. Hand Clin. Feb 1988;4(1):5-13. [Medline].

16. Wilson RL, Liechty BW. Complications following small joint injuries. Hand Clin. May 1986;2(2):329-45. [Medline].

17. Kiefhaber TR, Stern PJ, Grood ES. Lateral stability of the proximal interphalangeal joint. J Hand Surg [Am]. Sep 1986;11(5):661-9. [Medline].

18. Best Evidence: Talsma E, de Haart M, Beelen A, Nollet F. The effect of mobilization on repaired extensor tendon injuries of the hand: a systematic review. Arch Phys Med Rehabil. Dec 2008;89(12):2366-72. [Medline].

19. Durakbasa O, Guneri B. The volar surgical approach in complex dorsal metacarpophalangeal dislocations. Injury. Feb 18 2009;epub ahead of print. [Medline].

20. Kneser U, Goldberg E, Polykandriotis E, et al. Biomechanical and functional analysis of the pins and rubbers tractions system for treatment of proximal interphalangeal joint fracture dislocations. Arch Orthop Trauma Surg. Jan 2009;129(1):29-37. [Medline].

21. Liss FE, Green SM. Capsular injuries of the proximal interphalangeal joint. Hand Clin. Nov 1992;8(4):755-68. [Medline].

22. Stern PJ, Lee AF. Open dorsal dislocations of the proximal interphalangeal joint. J Hand Surg [Am]. May 1985;10(3):364-70. [Medline].

Further Reading

Related eMedicine Topics

• Dislocation, Hand [in the Emergency Medicine section]
• Hand, Anatomy [in the Plastic Surgery section]
• Hand, Anesthesia [in the Plastic Surgery section]
• Hand, Fracture and Dislocations: Metacarpal [in the Plastic Surgery section]
• Hand, Fracture and Dislocations: Phalangeal [in the Plastic Surgery section]
• Hand, Fracture and Dislocations: Thumb [in the Plastic Surgery section]
• Joint Reduction, Finger Dislocation [in the Clinical Procedures section]

Best Evidence

• Talsma E, de Haart M, Beelen A, Nollet F. The effect of mobilization on repaired extensor tendon injuries of the hand: a systematic review.  Arch Phys Med Rehabil. Dec 2008;89(12):2366-72. [Medline].

Clinical Trials

• Comparison of Splinting Interventions for Treating Mallet Finger Injuries
• Return to Work After Hand Injury: the Role of Medical, Demographic and Psycho-Social Factors

National Guidelines Clearinghouse

• ACR Appropriateness Criteria® acute hand and wrist trauma. American College of Radiology - Medical Specialty Society. 1998 (revised 2005). 8 pages. [NGC Update Pending] NGC:004607
• Forearm, wrist, & hand (acute & chronic), not including carpal tunnel syndrome. Work Loss Data Institute - Public For Profit Organization. 2004 (revised 2008 May 29). 128 pages. NGC:006557

Keywords

hand dislocation, broken finger, dislocated finger, injured finger, proximal interphalangeal joint dislocation PIP joint dislocation, distal interphalangeal joint dislocation, DIP joint dislocation, carpometacarpal joint dislocation, CMC joint dislocation, metacarpophalangeal joint dislocation, MCP joint dislocation

Contributor Information and Disclosures

Author

Jeff Chan, MD, MS, FACEP, Clinical Instructor, Stanford University; Staff Physician, Department of Emergency Medicine, Regional Medical Center of San Jose
Jeff Chan, MD, MS, FACEP is a member of the following medical societies: American College of Emergency Physicians
Disclosure: Nothing to disclose.

Coauthor(s)

Eleby R Washington III, MD, FACS, Associate Professor, Department of Surgery, Division of Orthopedics, Charles R Drew University of Medicine and Science
Eleby R Washington III, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Medical Association, International College of Surgeons, and National Medical Association
Disclosure: Nothing to disclose.

Igor Boyarsky, DO, Director of Triage, Assistant Professor, Department of Emergency Medicine, King-Drew Medical Center, University of California at Los Angeles
Igor Boyarsky, DO is a member of the following medical societies: American Medical Association, American Medical Student Association/Foundation, American Osteopathic Association, American Society of Addiction Medicine, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Medical Editor

Gerard A Malanga, MD, Director of Pain Management, Overlook Hospital; Director of PM&R Sports Medicine Fellowship, Atlantic Health; Clinical Professor, Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School; Clinical Chief, Rehabilitation Medicine and Electrodiagnosis, St Michael's Medical Center; Fellow, American College of Sports Medicine
Gerard A Malanga, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Physical Medicine and Rehabilitation, American College of Sports Medicine, North American Spine Society, and Physiatric Association of Spine, Sports and Occupational Rehabilitation
Disclosure: Cephalon Honoraria Speaking and teaching; Endo Honoraria Speaking and teaching; Forest Labs Honoraria Speaking and teaching

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Henry T Goitz, MD, Academic Chair and Associate Director, Detroit Medical Center Sports Medicine Institute; Director, Education, Research, and Injury Prevention Center; Co-Director, Orthopaedic Sports Medicine Fellowship
Henry T Goitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Orthopaedic Society for Sports Medicine
Disclosure: Nothing to disclose.

CME Editor

Jon B Whitehurst, MD, Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner and Executive Board Member, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital
Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD, Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago
Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.