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Reduction

Flex the PIP joint. In order to gain a better view of the fracture and the joint, use a syringe to clear out blood clot with ...

Clean the fracture site

Flex the PIP joint. In order to gain a better view of the fracture and the joint, use a syringe to clear out blood clot with a jet of Ringer lactate.
Often the presence of comminution is not apparent from the x-rays, and can only be determined under direct vision.
Use a dental pick carefully to free interposed tissues, and to remove blood clot and other debris.