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Proximal interphalangeal (PIP) joint dislocations are the most common injuries of the hand.1 These injuries are frequently secondary to athletic injuries and are sometimes referred to as the “coach’s finger,” “finger sprains,” or “jammed fingers.”2,3,7,8 Acute PIP dislocations present with finger deformity, swelling, and PIP tenderness.1,3 When the PIP dislocates dorsally, the volar plate insertion is torn off the base of the middle phalanx and usually the collateral ligaments remain intact, but the proper collateral separates longitudinally from the accessory collateral.4,5,8 Near complete dorsal separation of the articular surface occurs with the hyperextension-type dorsal dislocation and complete separation of surface occurs in the bayonet-type closed dislocation.5,6 Similar degree of separation can occur with the lateral and volar PIP dislocations