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.

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.

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.

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.

Volar Metacarpophalangeal Joint Dislocation of the Little Finger

1993 ◽  
Vol 1 (3) ◽  
pp. 145-147
Author(s):  
Lowell A Hughes ◽  
Arnis Freiberg
Keyword(s):  
Open Reduction ◽  
Metacarpophalangeal Joint ◽  
Management Problem ◽  
Optimal Outcome ◽  
Joint Dislocation ◽  
Unusual Injury ◽  
Little Finger

LA Hughes, a Freiberg. Volar metacarpophalangeal joint dislocation of the little finger. Can J Plast Surg 1993;1(3): 145-147. A case of volar dislocation of the metacarpophalangeal joint of the little finger was managed by open reduction, initially volar and subsequently dorsal before reduction could be maintained. This unusual injury represents a difficult management problem which can lead to a less than optimal outcome.

Complex Dislocation of the Metacarpo-Phalangeal Joint of the Index Finger: A Comparison of the Surgical Approaches

1988 ◽  
Vol 13 (4) ◽  
pp. 466-468
Author(s):  
K. BARRY ◽  
H. McGEE ◽  
J. CURTIN
Keyword(s):  
Surgical Intervention ◽  
Index Finger ◽  
Volar Plate ◽  
Surgical Approaches ◽  
Normal Anatomy ◽  
Dorsal Approach ◽  
Palmar Approach ◽  
Longitudinal Division ◽  
Theoretical Risk ◽  
Late Instability

Complex dislocation of the index metacarpo-phalangeal joint almost always requires surgical intervention. Controversy exists as to the most suitable surgical approach to reduction: palmar or dorsal. We reviewed four cases and carried out dissections in eight cadaver hands to compare the surgical approaches. The interposed volar plate was found to be the most important obstacle to reduction. Both approaches were successful in obtaining reduction. The dorsal approach was simple and safe, hut necessitated longitudinal division of the volar plate and may carry a theoretical risk of late instability. The palmar approach allows restoration of normal anatomy but the radial neurovascular bundle is always vulnerable.

scholarly journals The Lateral Approach in the Surgical Treatment of a Complex Dorsal Metacarpophalangeal Joint Dislocation of the Index Finger

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Joana Monteiro Pereira ◽  
Miguel Quesado ◽  
Marcos Silva ◽  
João Das Dores Carvalho ◽  
Hélder Nogueira ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Index Finger ◽  
Pediatric Population ◽  
Metacarpophalangeal Joint ◽  
Lateral Approach ◽  
Joint Dislocation ◽  
Soccer Game ◽  
Joint Dislocations ◽  
Osteochondral Fragment ◽  
Complex Lesions

Complex dorsal metacarpophalangeal (MCP) joint dislocations as a result of hyperextension injuries are uncommon in the pediatric population and irreducible to closed maneuvers. Treatment of these complex lesions is invariably surgical, and dorsal or volar approaches are traditionally used. The authors describe a case of a 16-year-old male who suffered a fall onto his outstretched right hand in a soccer game. The patient presented to the ER with pain and deformity of the index finger MCP joint. Radiographs confirmed a complex MCP dislocation with a small osteochondral fragment. A lateral surgical approach was made, and interposition of the volar plate and an osteochondral fragment blocking the reduction were found. This versatile approach allowed access to volar and dorsal structures, minimizing the risk of surgical scarring and mobility arch limitation. To our knowledge, there are no reported cases regarding a lateral surgical approach.

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