scholarly journals Locking of the Index Finger Metacarpophalangeal Joint Due to a Chronic Osteochondral Fracture Fragment of the Metacarpal Head: A Case Report

Hand ◽  
2012 ◽  
Vol 7 (4) ◽  
pp. 450-453 ◽  
Author(s):  
SuRak Eo ◽  
Neil F. Jones
Keyword(s):  
Case Report ◽  
Index Finger ◽  
Metacarpophalangeal Joint ◽  
Fracture Fragment ◽  
Osteochondral Fracture ◽  
Metacarpal Head

Locked Metacarpophalangeal Joint of the Little Finger in Extension Position due to the Incarceration of a Chronic Fracture Fragment: A Case Report

2018 ◽  
Vol 23 (04) ◽  
pp. 601-604 ◽  
Author(s):  
Shunsuke Asakawa ◽  
Takeshi Ogawa
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Volar Plate ◽  
Collateral Ligament ◽  
Fracture Fragment ◽  
Osteochondral Fracture ◽  
Unique Condition ◽  
Little Finger

We managed a case of locked metacarpophalangeal joint of the little finger in the extension position. Incarceration of a chronic osteochondral fracture fragment led to this unique condition. The fracture fragment partially adhered to the volar plate and ulnar collateral ligament on the joint side, which is supposed to have resulted in manually irreducible locking of the joint. We performed open reduction and achieved release of the locked joint by excising the fracture fragment.

scholarly journals Kaplan’s Lesion of the Little Finger Treated with Open Reduction by a Volar Approach: A Case Report

2021 ◽  
Vol 17 (2) ◽  
pp. 120-124
Author(s):  
Jung Hwan Um ◽  
Soon Heum Kim ◽  
Dong In Jo
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Index Finger ◽  
Metacarpophalangeal Joint ◽  
Joint Stability ◽  
Volar Approach ◽  
Metacarpal Head ◽  
Adjacent Structure ◽  
Standardized Treatment ◽  
Little Finger

Kaplan’s lesions are defined as open wounds with the metacarpal head exposed in the palms, accompanied by complex dorsal dislocation of the metacarpophalangeal joint (MCPJ). Kaplan’s lesions are clinically rare because the volar side of the MCPJ is anatomically supported and reinforced by a stronger adjacent structure. Moreover, lesions in the little finger are very rarely reported because most Kaplan’s lesions occur in the index finger. The reduction of lesions and restoration of joint stability is difficult when Kaplan’s lesions occur. Various methods have been currently introduced in the treatment of Kaplan’s lesions; however, no standardized treatment has been established because of the rarity of this disease. This paper reports a case of Kaplan’s lesion of the left little finger without fracture after a fall; the case was successfully treated with open reduction using a volar approach.

ROTATORY SUBLUXATION OF THE METACARPOPHALANGEAL INDEX FINGER JOINT: A CASE REPORT

Hand Surgery ◽  
2013 ◽  
Vol 18 (01) ◽  
pp. 103-105 ◽  
Author(s):  
Ken Teo ◽  
Anthony Berger
Keyword(s):  
Case Report ◽  
Index Finger ◽  
Extensor Tendon ◽  
Metacarpophalangeal Joint ◽  
Clinical Suspicion ◽  
Collateral Ligament ◽  
Open Injury ◽  
Complete Tear ◽  
Rotatory Subluxation ◽  
High Level

We report a case of rotatory subluxation of the metacarpophalangeal joint (MCPJ) of the finger. A 40-year-old man sustained an open injury to his index finger following an explosive injury. Radiographs showed rotatory subluxation of the index finger MCPJ. The index finger extensor digitorium was found interposed in the MCPJ, with a complete tear of the radial collateral ligament. Treatment was by open reduction and repair of the collateral ligament and the extensor tendon. A high level of clinical suspicion is needed to diagnose this entity.

Metacarpophalangeal Joint Denervation in the Treatment of Dieterich Disease: A Case Report

Hand ◽  
2020 ◽  
pp. 155894472096496
Author(s):  
James Ross Bailey ◽  
Paul W. Gorman ◽  
Andrew J. Mitchelson
Keyword(s):  
Case Report ◽  
Grip Strength ◽  
Avascular Necrosis ◽  
Metacarpophalangeal Joint ◽  
Nonoperative Treatment ◽  
Joint Mechanics ◽  
Metacarpal Head ◽  
Relieve Pain ◽  
Inflammatory Drugs ◽  
Underlying Pathogenesis

Avascular necrosis of the metacarpal head, known as Dieterich disease, is rare. The underlying pathogenesis of the disease is not clearly understood, and there are few cases reported in the literature. Nonoperative treatment with rest and nonsteroidal anti-inflammatory drugs is often successful, but surgical management is sometimes indicated. The case outlined here describes a novel application of the known technique of metacarpophalangeal joint denervation to relieve pain while maintaining joint mechanics and grip strength.

A LARGE INTRA-ARTICULAR LOOSE BODY IN THE METACARPOPHALANGEAL JOINT OF THE MIDDLE FINGER MIMICKING A CALCIFIED TUMOROUS LESION: A CASE REPORT

Hand Surgery ◽  
2007 ◽  
Vol 12 (02) ◽  
pp. 107-111
Author(s):  
Goro Ebihara ◽  
Masayoshi Ikeda ◽  
Yoshinori Oka
Keyword(s):  
Case Report ◽  
Middle Finger ◽  
Metacarpophalangeal Joint ◽  
Loose Body ◽  
Metacarpal Head ◽  
Tumorous Lesion ◽  
Palmar Approach

We will report on a case with a large intra-articular loose body in the metacarpophalangeal (MP) joint of the middle finger in a 30-year-old-male, which was mimicking a calcified tumourous lesion adjacent to the palmar side of the metacarpal head. It was easily removed through the palmar approach.

Dorsal Dislocation of the Metacarpophalangeal Joint of the Index Finger: A Case Report

1986 ◽  
Vol 21 (5) ◽  
pp. 949
Author(s):  
Gi Bum Lee ◽  
Byung Ill Lee ◽  
Yon II Kim ◽  
Soo Kyoon Rah ◽  
Chang Uk Choi
Keyword(s):  
Case Report ◽  
Index Finger ◽  
Metacarpophalangeal Joint

Locking of the Metacarpophalangeal Joint of the Thumb Caused by a Fracture Fragment of the Radial Condyle of the Metacarpal Head after Dorsal Dislocation

2006 ◽  
Vol 31 (6) ◽  
pp. 635-636 ◽  
Author(s):  
H. HIRATA ◽  
M. TSUJII ◽  
E. NAKAO
Keyword(s):  
Metacarpophalangeal Joint ◽  
Imaging Modalities ◽  
X Rays ◽  
Fracture Fragment ◽  
Hyperextension Injury ◽  
Metacarpal Head ◽  
Thumb Metacarpophalangeal Joint

We report a case of a locked thumb metacarpophalangeal joint secondary to metacarpal head fracture. As fractures of the radial condyle are not readily seen in routine X-rays, other imaging modalities, including CT, should be considered if the patient complains of limited extension after hyperextension injury of the thumb.

Locking of the Metacarpophalangeal Joint as a Result of the Shape of the Metacarpal Head in Achondroplasia

2007 ◽  
Vol 32 (5) ◽  
pp. 588-590 ◽  
Author(s):  
Y. HAMADA ◽  
K. SAIRYO ◽  
N. YASUI
Keyword(s):  
Index Finger ◽  
Metacarpophalangeal Joint ◽  
Collateral Ligament ◽  
Radial Collateral Ligament ◽  
Metacarpal Head ◽  
The Right

A 21 year-old woman with achondroplasia exhibited locking of the metacarpophalangeal joint of the right index finger which required surgery to release the joint. Locking was confirmed to be due to entrapment of the fan-like part of the radial collateral ligament on a metacarpal head prominence arising from epiphysial thickening.

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