What technique is effective in reducing dorsal PIP/DIP dislocations?

The technique that is effective in reducing dorsal proximal interphalangeal (PIP) and distal interphalangeal (DIP) dislocations involves employing a combination of methods, including traction, extension, and volar pressure. Each of these techniques plays a role in realigning the dislocated joint effectively.

Traction involves applying a pulling force that helps to distract the joint surfaces, creating space and allowing for easier re-alignment of the bones. Extension helps to realign the fingers properly by straightening them, making it easier for the dislocated joint surfaces to meet correctly. Volar pressure refers to applying pressure to the volar side (the palm side) of the joint while stabilizing the finger, helping to guide the joint surfaces back into their normal anatomical position.

Using all these techniques together enhances the chance of successfully reducing the dislocation while minimizing pain and potential complications. Each method complements the others, forming a comprehensive approach to managing these injuries, making the answer that includes all these methods the most effective.