Dislocation of metacarpophalangeal joint of bilateral index finger: A case report

  • Mina D K, Department of Orthopaedics MBS Hospital, Kota, Rajasthan, India
  • Nama K G Department of Orthopaedics MBS Hospital, Kota, Rajasthan, India
  • Gupta S Department of Orthopaedics MBS Hospital, Kota, Rajasthan, India
DOI: https://doi.org/10.5281/zenodo.3971011
Keywords: Fibrocartilagenous volar plate, metacarpal, dorsal approach, Kaplan dislocation

Abstract

Occurrence of bilateral dislocation of metacarpophalangeal joint of index finger are very uncommon. Most of the dislocation are complex in nature and require surgical open reduction. The need for surgical reduction is primarily due to entrapment of fibrocartilaginous volar plate between proximal phalanx and metacarpal head. The dislocation can be approached by either volar or dorsal approach. We advocates dorsal approach because of its definitive advantage over volar approach like reduced neurovascular injury and direct exposure of volar plate.

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References

Kaplan EB. Dorsal dislocation of the metacarpophalangeal joint of the index finger. J Bone Joint Surg Am. 1957; 39(5): 1081-86.

May JW Jr, Rohrich RJ, Sheppard J. Closed complex dorsal dislocation of the middle finger metacarpophalangeal joint: anatomic considerations and treatment. Plast .Reconstr Surg. 1988; 82(4):690-93.

Barry K, McGee H, Curtin J. Complex dislocation of the metacarpo-phalangeal joint of the index finger: a comparison of the surgical approaches. J Hand Surg Br. 1988;13(4):466-68.

Chadha M, Dhal A. Vulnerability of the radial digital neurovascular bundle of the index finger while using the Kaplan’s volar approach for irreducible dislocation of the second metacarpophalangeal joint. Injury 2004; 35(11):1182-84.

Becton JL, Christian JD Jr, Goodwin HN, Jackson JG III. A simplified technique for treating the complex dislocation of the index metacarpophalangeal joint. J Bone Joint Surg Am. 1975;57(5):698-700.
Published
2016-06-30
CITATION
DOI: 10.5281/zenodo.3971011
Published: 2016-06-30
How to Cite
1.
Mina D K, Nama K G, Gupta S. Dislocation of metacarpophalangeal joint of bilateral index finger: A case report. ojmpc [Internet]. 2016Jun.30 [cited 2024Nov.23];22(1):41-3. Available from: https://ojmpc.com/index.php/ojmpc/article/view/27
Issue
Vol 22 No 1 (2016): JAN-JUN
Section
Case Report

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