Post traumatic volar complex dislocation of first metacarpophalangeal joint: a case study
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20231029Keywords:
Metacarpophalangeal dislocation, Thumb dislocation, Dorsal approachAbstract
First metacarpophalangeal (MCP) joint dislocations are very uncommon injuries. These dislocations are classified as volar or dorsal, and then as simple or complicated, based on the direction of the dislocation and its reducibility. Dorsal being the most common approach as it is safer. It is found that reduction was stable and started with immobilisation for 15 days followed by physiotherapy. Postoperatively patient was having range of motion (25-50 deg) and post operative 2 months patient was able to do daily activities with his affected hand with VAS score of 1. Complex metacarpophangeal joint dislocations needs operative management combined with postoperative physiotherapy to achieve good clinical outcomes so as to reduce the risk of arthritis and decreased grip force.
References
Beck JD, Klena JC. Closed reduction and treatment of 2 volar thumb metacarpophalangeal dislocations: report of 2 cases. J Hand Surg Am. 2011;36:665–9.
Hindle P, Davidson EK, Biant LC, Court-Brown CM. Appendicular joint dislocations. Injury. 2013;44(8):1022-7.
Sumarriva G, Cook B, Godoy G, Waldron S. Pediatric Complex Metacarpophalangeal Joint Dislocation of the Index Finger. Ochsner J. 2018;18(4):398-401.
Dinh P, Franklin A, Hutchinson B, Schnall SB, Fassola I. Metacarpophalangeal joint dislocation. J Am Acad Orthop Surg. 2009;17(5):318-24.
Mudgal CS, Mudgal S. Volar open reduction of complex metacarpophalangeal dislocation of the index finger: a pictorial essay. Tech Hand Up Extrem Surg. 2006;10(1):31-6.
Kaplan EB. Dorsal dislocation of the metacarpophalangeal joint of the index finger. J Bone Joint Surg Am. 1957;39:1081Y1086.
Meurer WJ, Kronick SL, Lowell MJ, Desmond JS, Mudgal CS. Complex metacarpophalangeal dislocation. Int J Emerg Med. 2008;1(3):227-8.
Potini VC, Sood A, Sood A, Mastromonaco E. Volar dislocation of the thumb metacarpophalangeal joint with acute repair of the ulnar collateral ligament. Case Reports Plastic Surg Hand Surg. 2014;1(1):5-7.
Lahiji F, Zandi R, Maleki A. First Carpometacarpal Joint Dislocation and Review of Literatures. Arch Bone Jt Surg. 2015;3(4):300-3.
Izadpanah A, Wanzel K. Late presentation of a complete complex thumb metacarpophalangeal joint dislocation: A case report. Can J Plast Surg. 2011;19(4):139-42.
