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Managing PIP Joint Flexion Contractures: This weekend’s case discussion highlighted a common secondary sequela following dorsal dislocation injuries involving volar plate disruption and volar plate avulsion fractures: managing PIP flexion contractures when these injuries lead to soft tissue restrictions. In this short video,we discuss several effective strategies, including: ✔️ Soft tissue and instrument-assisted massage ✔️ Joint mobilization techniques ✔️ Reverse blocking exercises ✔️ Relative
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Common Hand Fracture (in younger male patients) 🚴‍♀️ A boxer's fracture occurs when direct trauma is applied to a clenched fist, resulting in apex dorsal angulation of the 5th metacarpal. The neurovascular bundle running alongside the metacarpal can sometimes be affected in displaced fractures, requiring surgical intervention. Clinicians check for skin breaks, neurovascular status, pseudo-clawing, rotational alignment, and compare with the uninjured hand. X-rays (PA, lateral, and oblique) are t
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Dislocated Thumb Needle Nose Pliers 🔧 👉🏼 Did you know that thumb dislocations are more common in athletes? Despite the stability of the #thumb joints, the vulnerable position of the first phalanx makes them susceptible to subluxation or dislocation. The metacarpophalangeal (MCP) and interphalangeal (IP) joints are often affected. Most thumb MCP dislocations are dorsal, caused by a fall onto an outstretched hand with an impact to the extended thumb. Volar dislocations of the #MCPjoint are rare
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