Consider digital block for pain control
Flex wrist, then hyperextend the joint
Apply longitudinal traction followed by dorsal pressure to phalanx base
Irreducible dislocation likely due to entrapment of avulsion fracture, profundus tendor or volar plate
Without initial hyperextension, can be difficult to disengage from any trapped soft tissue
Post reduction, look for central slip rupture, which may lead to Boutonniere deformity
Without initial hyperextension, can be difficult to disengage from any trapped soft tissue
Flex wrist then hyperflex the affected joint
Apply gentle traction then extend the joint
Often need open reduction due to volar plate entrapment
Stable dorsal reduction: 3wk of immobilization in 20-30 deg of flexion
If volar dislocation, may have injury to central slip of the extensor tendons, so must be splinted in full extension for 3 weeks to prevent Boutonniere deformity
Unstable reduction: Surgery
Displacement occurs during active range of motion or passive stressing of joint
>20 deg of deformity and instability with lateral testing
If volar dislocation, may have injury to central slip of the extensor tendons, so must be splinted in full extension for 3 weeks to prevent Boutonniere deformity
Displacement occurs during active range of motion or passive stressing of joint
>20 deg of deformity and instability with lateral testing
Proximal interphalangeal dislocation 
Finger dislocations
Interphalangeal dislocation 
Distal interphalangeal dislocation 
Metacarpophalangeal dislocation 
Carpal dislocations
Thumb dislocations
Fingertip avulsion