Medication Summary
Nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics are generally used to treat the pain that is associated with a PIP joint injury.
Nonsteroidal anti-inflammatory drugs
Class Summary
NSAIDs have analgesic, anti-inflammatory, and antipyretic activities. The mechanism of action of these agents is not known, but NSAIDs may inhibit cyclooxygenase activity and prostaglandin synthesis. Other mechanisms may exist as well, such as inhibition of leukotriene synthesis, lysosomal enzyme release, lipoxygenase activity, neutrophil aggregation, and various cell membrane functions.
Ibuprofen (Motrin, Ibuprin)
DOC for patients with mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis
Ketoprofen (Oruvail, Orudis, Actron)
For the relief of mild to moderate pain and inflammation.
Small dosages are initially indicated in small and elderly patients and in those with renal or liver disease. Doses over 75 mg do not increase therapeutic effects.
Administer high doses with caution and closely observe the patient for response.
Naproxen (Naprelan, Anaprox, Naprosyn, Aleve)
For the relief of mild to moderate pain; inhibits inflammatory reactions and pain by decreasing the activity of cyclooxygenase, which results in a decrease of prostaglandin synthesis
Narcotic analgesics
Class Summary
Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties, which are beneficial for patients who have sustained trauma or who have sustained injuries.
Acetaminophen and codeine (Tylenol #3)
For the relief of mild to moderate pain; inhibits inflammatory reactions and pain by decreasing the activity of cyclooxygenase, which results in a decrease of prostaglandin synthesis
Hydrocodone bitartrate and acetaminophen (Vicodin ES, Lortab, Lorcet-HD)
Drug combination that is indicated for moderate to severe pain
Propoxyphene and acetaminophen (Darvocet-N 100, Wygesic)
Drug combination that is indicated for mild to moderate pain
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Anatomy of the proximal interphalangeal joint. The central slip passes directly over the joint and inserts on the base of the middle phalanx. The lateral bands pass around the joint, combine with the retinacular ligaments, and unite to form the extensor tendon that attaches on the distal phalanx. Lateral motion is minimized by the collateral ligaments, and extension is limited to 0º by the thick volar plate.
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Volar plate disruption with a stable, nondisplaced avulsion fracture of the middle phalanx.
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Dorsal dislocation of the proximal interphalangeal joint.
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Typical boutonniere deformity.
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Extension block splint with the proximal interphalangeal joint at 30°.
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Proximal interphalangeal joint that has been splinted in extension for the treatment of a central slip injury.
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Dynamic spring extension splint for the treatment of a boutonniere finger deformity.
