Thumb metacarpophalangeal joint palmar plate chronic avulsion in children: diagnosis and treatment

Author(s):  
Amr Mohamed Aly ◽  
Amr Mohamed Nabil
2013 ◽  
Vol 39 (3) ◽  
pp. 272-275 ◽  
Author(s):  
N. J. K. Miller ◽  
T. R. C. Davis

Hyperextension of the thumb metacarpophalangeal (MCP) joint is frequently seen with trapeziometacarpal osteoarthritis, but there is no consensus on the indication for, or type of, treatment. We re-examined 12 thumbs at a mean of 9 (range 6–13) years following MCP capsulodesis using a suture anchor performed with trapeziectomy. Mean MCP hyperextension improved from 45° pre-operatively to 19° at 1 year post-operatively. At 9 years follow-up, it had increased to 30° but was still significantly better than pre-operatively ( p = 0.007). Mean MCP flexion was 37° and near normal opposition was retained. The median pain score had improved from 5.5 to 1 ( p = 0.002). Thumb key and tip pinch and hand grip strength showed no significant change from pre-operative values. No thumb MCP had symptomatic radiological degeneration. Our results suggest that MCP capsulodesis preserves a useful range of MCP flexion but stretches out over time. However, this did not result in increased pain or thumb weakness.


Author(s):  
Alan E. Freeland ◽  
Michael E. Jabaley ◽  
James L. Hughes

2011 ◽  
Vol 15 (1) ◽  
pp. 2-4 ◽  
Author(s):  
Sze-Chung Cheng ◽  
Yen Chi-Hung ◽  
Wong Wing-Cheung ◽  
Ho Pak-Cheong ◽  
Tse Wing-Lim ◽  
...  

2017 ◽  
Vol 4 (8) ◽  
pp. 2829
Author(s):  
Praveen Kumar Pandey ◽  
Inder Prakash Pawar

Metacarpo-phalangeal (MCP) joint dislocation is a rare occurrence which commonly involves index and little finger. Thumb MCP joint dislocation is a pretty rare pathology. MCP joint dislocations are classified into dorsal or volar types. They are further categorized as incomplete, simple complete and complex complete. Complex complete MCP joint dislocation requires surgical reduction most of the times because of tissue entrapment in joint. In the present case report, a case of two and a half months old complex complete thumb MCP joint dislocation left in 18-year old male encountered which was irreducible by closed means and required surgical intervention. Dorsal hand surgical approach was utilized for reduction of dislocation. This unusual, difficult and rare case of two and a half months old complex complete dorsal dislocation of the thumb MCP joint is presented in this case report.


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