Management of Finger Joint Dislocation and Fracture-Dislocations in Athletes

Clin Sports Med. 2020 Apr;39(2):423-442. doi: 10.1016/j.csm.2019.10.006. Epub 2020 Feb 4.


Although finger joint dislocations are generally thought of as benign by many athletes and assumed to be a sprain, these injuries represent a spectrum that includes disabling fracture-dislocations. Failure to recognize certain dislocations or fracture-dislocations may result in permanent deformity and loss of motion. Simple dislocations are frequently amenable to early return to play with protection; however, more complex injuries may require specialized splinting or surgery. Delay in diagnosis of unstable proximal interphalangeal fracture-dislocations may require reconstruction or fusion. Early diagnosis and appropriate treatment are essential to ensure optimal functional results.

Keywords: Athlete; DIP dislocation; Finger dislocation; IP dislocation; PIP fracture-dislocation; Return to play.

Publication types

  • Review

MeSH terms

  • Athletic Injuries / diagnosis
  • Athletic Injuries / physiopathology
  • Athletic Injuries / surgery
  • Athletic Injuries / therapy*
  • Early Diagnosis
  • Female
  • Finger Injuries / diagnosis
  • Finger Injuries / physiopathology
  • Finger Injuries / surgery
  • Finger Injuries / therapy*
  • Finger Phalanges / injuries*
  • Fracture Dislocation / diagnosis
  • Fracture Dislocation / physiopathology
  • Fracture Dislocation / surgery
  • Fracture Dislocation / therapy*
  • Humans
  • Joint Dislocations / diagnosis
  • Joint Dislocations / physiopathology
  • Joint Dislocations / surgery
  • Joint Dislocations / therapy*
  • Range of Motion, Articular
  • Return to Sport