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Open dorsal dislocation of the proximal interphalangeal (PIP) joint with an associated fracture

Reason #1 why you shouldn’t show your middle finger to your wife!! This is an open dorsal dislocation of the proximal interphalangeal (PIP) joint with an associated fracture while playing American football after his middle finger was forced into hyperextension and a slight internal rotation! Fracture-dislocation of the PIP joint is a relatively rare sports injury, for which primary ligament repair after reduction of the dislocation is generally performed. Patients whose digits have neurovascular compromise, an open joint dislocation, ligamentous or volar plate rupture, joint instability, or an associated fracture should be immediately evaluated by an orthopedic or hand specialist to manage potential subtle ligamentous, cartilaginous, or bony injury. In this case a surgical treatment is indicated.