In the intrinsic plus position the mcp joints are positioned in flexion and the proximal interphalangeal pip and distal interphalangeal dip joints of the fingers are positioned in extension. Position the hand in an intrinsic plus position without bulk at the mps. Ulnar gutter splint intrinsic plus position suse intrinsic plus hand positioning for metacarpal finger injuries smcp s flexed 70 90 degrees sip s in extension sthis position takes advantage of ligamentotaxsis to help maintain fx alignment and avoid over tightening contractures of the phalangeal collateral ligaments photo courtesy tgocke pa c.
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