{ "schema_version": 1, "kind": "condition", "id": "finger-dislocation", "name": "Finger dislocation", "category": "chronic", "sources": "Finger Dislocation - StatPearls - NCBI Bookshelf (NBK551508) - https://www.ncbi.nlm.nih.gov/books/NBK551508/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class LD48.02 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Lidocaine Hydrochloride Injection DailyMed label, SetID 01679d29-a592-8cbb-e063-6394a90ad82a, Dosage and Administration Table 1", "review_status": "reviewed", "verified_against": "No dose - referral pathway, no medicine given in primary care", "verified_date": "2026-08", "treatments": [ { "id": 769, "generic": "Referral & safety-netting (no drug therapy)", "line": 1, "is_adjunct": false, "form": null, "strength_mg": null, "adult_dose": "Finger joint dislocation from sports or a fall; needs reduction and splinting, with an X-ray to exclude an associated fracture.", "adult_duration": "Refer, with advice", "dose_source": "No dose - referral pathway, no medicine given in primary care", "rationale": "Finger joint dislocation from sports or a fall; needs reduction and splinting, with an X-ray to exclude an associated fracture.", "cautions": [ "Open dislocation, failed or unstable reduction, neurovascular compromise of the digit.", "Referral is the pathway; the medicines listed alongside are what primary care can give before or while it happens." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [], "condition_id": "finger-dislocation" }, { "id": 770, "generic": "Lidocaine", "line": 1, "is_adjunct": false, "form": "injection", "strength_mg": null, "adult_dose": "Plain lidocaine 0.5% or 1% infiltrated around the digital nerves - the label's range for percutaneous infiltration is 1 to 60 mL and 5 to 300 mg in total, and a digit needs only the low end. Never exceed 4.5 mg/kg or 300 mg.", "adult_duration": "Single block; do not repeat within 2 hours", "dose_source": "Lidocaine Hydrochloride Injection DailyMed label, SetID 01679d29-a592-8cbb-e063-6394a90ad82a, Dosage and Administration Table 1 - verbatim: \"Infiltration Percutaneous 0.5 or 1.0 1−60 5−300\"", "rationale": "A finger dislocation is reduced in the clinic, and the article makes a digital block a precondition of even attempting it; without it there is a procedure and no anaesthetic.", "cautions": [ "Use a plain preparation. Do not use lidocaine premixed with adrenaline for a finger block.", "Aspirate before injecting and inject slowly - accidental intravascular injection causes the tingling lips, ringing ears, confusion and fits of local anaesthetic toxicity.", "Work out the ceiling for the patient's weight before drawing up, and stay well under it: 4.5 mg/kg and never more than 300 mg without adrenaline.", "Check and record the sensation and capillary refill of the finger before and after the block, and X-ray after reduction.", "Lower the dose in the elderly, the debilitated, and in heart or liver disease." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Use a solution weaker than 2% so the volume can be larger, and keep the total below 5 mg/kg and below the adult ceiling of 300 mg per dose; do not repeat within 2 hours.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "LIDOCAINE HYDROCHLORIDE 10MG/ML AMP. 2 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO B", "price_egp": 2.0, "pack_count": null, "unit_price": null, "strength_mg": 10.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "LIDOCAINE HYDROCHLORIDE 10MG/ML AMP. 5 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO B", "price_egp": 4.0, "pack_count": null, "unit_price": null, "strength_mg": 10.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "LIDOCAINE 1% (OTSUKA) AMP. 5 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "OTSUKA", "price_egp": 5.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "LIDOCAINE HCL PHARMACELL 2% VIAL IM IV SC 20 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "BADR PHARMA > PHARMACELL", "price_egp": 9.75, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "LIDOCAINE HCL 20MG/ML VIAL IM IV SC 50 ML (NET PRICE)", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "SIGMA TEC > VODACHEM", "price_egp": 11.25, "pack_count": null, "unit_price": null, "strength_mg": 20.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "DEBOCAINE HCL 2% 50ML VIAL", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ARABCOMED > DEBEIKY", "price_egp": 33.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ULTRACAINE 20MG/ML VIAL 50 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MEMPHIS", "price_egp": 33.0, "pack_count": null, "unit_price": null, "strength_mg": 20.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "LIDOCAINE 2% 10 AMP.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ALEXANDRIA", "price_egp": 90.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "finger-dislocation" } ] }