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Epidemiology Incidence common injury, especially in athletes Anatomic location PIP joint dislocations fracture-dislocations DIP joint dislocations fracture-dislocations Etiology Mechanism of injury Generally due to direct blow Fracture dislocations due to avulsion impaction shear Associated conditions usually associated with distal phalanx fractures Anatomy Distal Interphalangeal Joint osteology hinge joints collateral ligaments terminal extensor tendon FDP volar plate Proximal Interphalangeal Joint osteology a hinge joint collateral ligaments central slip FDS volar plate Presentation Physical exam inspection pain and deformity of the affected digit skin puckering may indicate interposition of soft tissues within the joint motion important to assess stability of the joint after reduction passive stability active stability neurovascular evaluate sensation in adjacent digits Imaging Radiographs recommended views findings Diagnosis Clinical and radiographic diagnosis confirmed by history, physical exam, and radiographs PIP Dislocations Introduction dorsal dislocations are more common than volar dislocations dorsal dislocations can lead to a swan neck deformity volar dislocations can lead to a boutonniere deformity Epidemiology incidence most commonly injured joint in the hand Classification results from PIPJ hyperextension with longitudinal compression (i.e

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