Complex Irreducible Dorsal Dislocation of Thumb Interphalangeal Joint: Controversies and Consensus in Management

2020 ◽  
Vol 25 (03) ◽  
pp. 378-383
Author(s):  
Leon Alexander
Keyword(s):  
Similar Case ◽  
Case Reports ◽  
Interphalangeal Joint ◽  
Digital Nerve ◽  
Sesamoid Bone ◽  
Flexor Pollicis Longus ◽  
Joint Dislocation ◽  
Comparative Review ◽  
Flexor Pollicis Longus Tendon ◽  
Broad Consensus

Dislocations of thumb interphalangeal (IP) joint are rare injuries due to inherent stability of the joint. This report presents a case of complex irreducible dorsal IP joint dislocation of thumb due to interposition of four structures – volar plate, sesamoid bone, flexor pollicis longus tendon and digital nerve which is perhaps the only case reported so far in literature where more than three structures have been implicated for this joint irreducibility. The author presents a comparative review of similar case reports previously reported in literature listing the controversies in management and forming a broad consensus in the management of these difficult injuries. Finally, an algorithm for the management of these injures has been proposed in this article which maybe helpful for other operators in tackling these injuries so as to deliver predictable treatment outcomes.

Rupture of the Flexor Pollicis Longus Tendon Resulting from the Non-Union of a Scaphoid Fracture

1988 ◽  
Vol 13 (1) ◽  
pp. 80-82
Author(s):  
A. B. CROSS
Keyword(s):  
Similar Case ◽  
Scaphoid Fracture ◽  
Interphalangeal Joint ◽  
Flexor Pollicis Longus ◽  
Proximal Pole ◽  
Non Union ◽  
Longus Tendon ◽  
Good Movement ◽  
Flexor Pollicis Longus Tendon

A case is described in which a patient presented with a rupture of the flexor pollicis longus tendon resulting from an ununited scaphoid fracture. No similar case appears to have been reported in the literature. This was not an attrition rupture and the mechanism is explained. The proximal pole of the scaphoid was removed and the tendon repaired. The patient regained good movement at the interphalangeal joint of the thumb.

scholarly journals Bilateral anterior interosseous nerve syndrome with 6-year interval

2018 ◽  
Vol 6 ◽  
pp. 2050313X1877741
Author(s):  
Thomas Tyszkiewicz ◽  
Isam Atroshi
Keyword(s):  
Complete Recovery ◽  
Interphalangeal Joint ◽  
Wrist Arthroscopy ◽  
Flexor Pollicis Longus ◽  
Active Flexion ◽  
Anterior Interosseous Nerve ◽  
History Of ◽  
Anterior Interosseous Nerve Syndrome ◽  
Flexor Pollicis Longus Tendon ◽  
The Right

Flexor pollicis longus paralysis related to idiopathic anterior interosseous nerve syndrome is well known, but few reports exist on bilateral disease. A 24-year-old man with no personal or family history of neurological disease developed isolated total loss of active flexion of the right thumb’s interphalangeal joint after undergoing a wrist arthroscopy. Surgical exploration 5 weeks after onset showed flexor pollicis longus tendon to be intact; anterior interosseous nerve decompression was done with no abnormalities found. Because of persistent paralysis, electromyography was performed showing findings consistent with anterior interosseous nerve syndrome. After 7 months without recovery, the patient underwent tendon transfer. After 6 years, the patient presented with left-sided isolated flexor pollicis longus paralysis and electromyography indicated anterior interosseous nerve syndrome. Examination 9 months after onset showed persistent complete flexor pollicis longus paralysis but by 15 months spontaneous complete recovery had occurred. Anterior interosseous nerve syndrome can occur bilaterally and is likely to resolve completely without intervention but recovery may take longer than a year.

Spontaneous Rupture of the Flex or Pollicis Longus Tendon on a Sesamoid Bone

1997 ◽  
Vol 22 (3) ◽  
pp. 381-382 ◽  
Author(s):  
J. B. WEBB ◽  
D. ELLIOT
Keyword(s):  
Spontaneous Rupture ◽  
Metacarpophalangeal Joint ◽  
Sesamoid Bone ◽  
Flexor Pollicis Longus ◽  
Longus Tendon ◽  
Flexor Pollicis Longus Tendon

We report a case of rupture of the flexor pollicis longus tendon due to attrition by the ulnar sesamoid bone of the metacarpophalangeal joint of the thumb secondary to osteoarthritic changes of this bone.

Temporomandibular joint dislocation and deafness from a cricket ball injury

1994 ◽  
Vol 108 (5) ◽  
pp. 415-416 ◽  
Author(s):  
P. Murthy ◽  
C. Bandasson ◽  
R. S. Dhillon
Keyword(s):  
Temporomandibular Joint ◽  
Similar Case ◽  
Case Reports ◽  
Posterior Dislocation ◽  
Ball Impact ◽  
Joint Dislocation ◽  
Temporomandibular Joints ◽  
Cricket Ball ◽  
Temporomandibular Joint Dislocation

AbstractCricket is a national sport in some countries and can be potentially hazardous. We report an incident of a cricket ball impact to the chin, which resulted in posterior dislocation of both temporomandibular joints and bilateral mixed deafness. There appear to be no similar case reports in the literature.

scholarly journals Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical Treatment

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Hiroyuki Tsuchie ◽  
Tomio Nishi ◽  
Hidekazu Abe ◽  
Masaaki Takeshima ◽  
Yoichi Shimada
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Scar Tissue ◽  
Trigger Finger ◽  
Common Disease ◽  
Digital Nerve ◽  
Flexor Pollicis Longus ◽  
Open Release ◽  
Flexor Pollicis Longus Tendon ◽  
A1 Pulley

Trigger finger is a common disease, and operative treatments are often applied for it. Digital nerve injury is one of the complications of this surgical treatment, and paresthesia and sensory disturbance occur early after the operation. This paper presents a case of trigger finger appearing gradually as increasing digital nerve disorder after surgical treatment. In the second surgery, scar tissue covered the palmar MP joint where the A1 pulley had existed before, and palmar digital neurovascular tissue of the ulnar side was found on the inside of the scar. The ulnar digital nerve showed swelling like a neuroma, and bilateral digital nerves existed nearer to the center of the flexor pollicis longus tendon than normal digital nerves. Even when we operate on trigger finger by open release, we should create an appropriate surgical space for observation and be careful of digital nerve injury.

scholarly journals Dislocation of the metacarpophalangeal joint of the index finger requiring open reduction due to the presence of an intra-articular sesamoid bone

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110211
Author(s):  
Elizabeth S O’Neill ◽  
Mia M Qin ◽  
Kevin J Chen ◽  
Marek A Hansdorfer ◽  
Matthew E Doscher
Keyword(s):  
Open Reduction ◽  
Surgical Intervention ◽  
Index Finger ◽  
Metacarpophalangeal Joint ◽  
Volar Plate ◽  
Digital Nerve ◽  
Sesamoid Bone ◽  
Joint Dislocation ◽  
Patient Reported ◽  
Definitive Management

Complex dislocation of the metacarpophalangeal joint of the index finger is rare and often requires surgical intervention. Here, we present a case of an index finger metacarpophalangeal joint dislocation requiring open reduction due to obstruction by a displaced volar plate and the intra-articular entrapment of a sesamoid bone. Surgical approach was performed dorsally, allowing easy visualization of the volar plate and sesamoid bone as well as minimizing risk to the radial digital nerve to the index finger. Postoperatively, the patient reported good functional return despite the delay in definitive management.

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