616 results match your criteria Metacarpophalangeal Joint Dislocation


Open Volar Dislocation of the Thumb Metacarpophalangeal Joint.

J Hand Microsurg 2019 Apr 24;11(1):59-60. Epub 2018 Dec 24.

Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts, United States.

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http://dx.doi.org/10.1055/s-0038-1676762DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431287PMC
April 2019
1 Read

[Dorsal plate arthrodesis of the thumb metacarpophalangeal joint].

Oper Orthop Traumatol 2019 Feb 26. Epub 2019 Feb 26.

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.

Objective: Elimination of pain or instability by arthrodesis of the thumb joint in functional position by dorsal plateosteosynthesis.

Indications: Painful primary or secondary arthrosis of the thumb, nonreconstructable ulnar, radial or palmar instability, posttraumatic dislocation, defect injuries, bone tumors in the region of the thumb metacarpophalangeal joint.

Contraindications: Local infection of the thumb metacarpophalangeal joint area. Read More

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http://dx.doi.org/10.1007/s00064-019-0592-xDOI Listing
February 2019

Radial Dislocation of Extensor Tendon Over the Metacarpophalangeal Joint of the Thumb due to Cerebral Hemorrhage: A Case Report.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):96-99

1 Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan.

We report a rare case of radial dislocation of the extensor tendon over the metacarpophalangeal (MCP) joint of the thumb. Ulnar dislocation has been reported, but previous reports have not mentioned radial dislocation of the extensor tendon in the thumb. Radial dislocation of the extensor tendon of the thumb gradually progressed after cerebral hemorrhage and the patient could not extend MCP joint of the thumb. Read More

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http://dx.doi.org/10.1142/S2424835519720032DOI Listing
March 2019
1 Read

Pure Isolated Dorsal Hamatometacarpal Dislocation in a Rider: A Case Report and Review of Literature.

J Orthop Case Rep 2018 Sep-Oct;8(5):29-31

Department of Orthopedic Surgery and Traumatology, Military Hospital Mohamed V (HMIMV), BP 10100 Rabat, Morocco.

Introduction: Pure isolated dislocations of the fifth carpometacarpal joint are extremely rare. To the best of our knowledge, the case, we present here, is among the extremely rare cases report of an unstable hamatometacarpal dislocation(HMD)injury successfully treated by a well-molded cast.

Case Report: A 30-year-old rider fell from his horse, causing swelling of the wrist and the fifth finger was rotated with minimal active motion. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367302PMC
February 2019
10 Reads

[A girl with a deviated index finger].

Ned Tijdschr Geneeskd 2019 Jan 25;163. Epub 2019 Jan 25.

OLVG, locatie Oost, afd. Plastische, Reconstructieve en Handchirurgie, Amsterdam.

A 7-year-old girl was seen at the ER with severe pain of her index finger after twisting her hand whilst performing a handstand. Physical examination and X-rays showed an isolated dorsal dislocation of the metacarpophalangeal joint, also known as a Kaplan's lesion. A Kaplan's lesion is a complex dislocation with volar plate interposition. Read More

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January 2019
3 Reads

Simultaneous Metacarpophalangeal Dislocation and Carpometacarpal Fracture-Dislocation of the Ring Finger: A Case Report.

J Orthop Case Rep 2018 May-Jun;8(3):68-70

Department of Orthopedics and Traumatology, Istanbul University, Turkey, Istanbul.

Introduction: Fracture-dislocations of the carpometacarpal (CMC) joints are pretty uncommon injuries with an incidence of 1%. A 17-year-old male was referred due to multiple traumas following a car accident with Glasgow Coma Score of 9.

Case Report: Simultaneous metacarpophalangeal dislocation and CMC fracture-dislocation of the ring finger were present in the 4th finger (ring finger) of the right hand. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298718PMC
December 2018
3 Reads

Pediatric Complex Metacarpophalangeal Joint Dislocation of the Index Finger.

Ochsner J 2018 ;18(4):398-401

Department of Orthopedics, Ochsner Clinic Foundation, New Orleans, LA.

Background: Metacarpophalangeal (MCP) joint dislocations are the result of a hyperextension injury. Complex MCP joint dislocations-those that are irreducible to closed maneuvers and require surgical intervention-are considered uncommon, even in the pediatric population. Although several structures have been identified that contribute to irreducible dislocations, the volar plate is the most significant barrier to reduction through interposition into the MCP joint. Read More

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http://dx.doi.org/10.31486/toj.18.0032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292477PMC
January 2018
3 Reads

Indication for CT following index finger metacarpophalangeal joint dislocation - A case report.

Trauma Case Rep 2018 Dec 27;18:31-36. Epub 2018 Nov 27.

Royal Alexandra Hospital, Corsebar Road, Paisley PA2 9PN, Scotland, United Kingdom.

Currently Kaplan's criteria on examination are used as the gold standard diagnostic tool for complex dorsal dislocations of the index finger Metacarpophalangeal joint. Our case report reveals a situation when the diagnosis was obscure and when conventional X-rays were not beneficial. With the use of CT imaging we were able to confirm the diagnosis of complex dorsal dislocation of the index finger Metacarpophalangeal joint and also reveal multiple other injuries. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.11.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260449PMC
December 2018
3 Reads

[Effectiveness analysis of maintaining the stability between the fourth and the fifth metacarple base during the treatment in the hamate-metacarpal joint injury].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 08;32(8):984-988

Department of Hand Surgery, People's Hospital of Longhua, Shenzhen Guangdong, 518109, P.R.China.

Objective: To explore the effectiveness of maintaining the stability between the fourth and the fifth metacarple base during the treatment in the hamate-metacarpal joint injury.

Methods: Between September 2015 and June 2017, 13 cases of hamate-metacarpal joint injury were treated, including 12 males and 1 female, aged from 17 to 55 years (mean, 30.8 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201711006DOI Listing
August 2018
3 Reads

Proposal of a New Dynamic Distraction Device to Treat Complex Periarticular Fractures of the Metacarpophalangeal Joint of Long Finger.

Hand (N Y) 2018 Jul 1:1558944718787859. Epub 2018 Jul 1.

2 University Hospital of Pisa, Italy.

Background: Complex periarticular fractures of the metacarpophalangeal joint (MCPJ) are often challenging to treat. Conservative and operative treatments are often burdened with stiffness, loss of function, and poor clinical outcome. These phenomena could be a direct consequence of long period of immobilization. Read More

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http://dx.doi.org/10.1177/1558944718787859DOI Listing
July 2018
7 Reads

Volar metacarpophalangeal joint dislocation: A case report.

Hand Surg Rehabil 2018 May 28. Epub 2018 May 28.

IBN TOFAIL Hospital, Universital Hospital Mohammed VI, faculté de medecine et de pharmacie, Marrakech, Morocco.

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http://dx.doi.org/10.1016/j.hansur.2018.05.001DOI Listing
May 2018
5 Reads

A new assessment tool for ulnar drift in patients with rheumatoid arthritis using pathophysiological parameters of the metacarpophalangeal joint.

Mod Rheumatol 2019 Jan 2;29(1):113-118. Epub 2018 Mar 2.

a Department of Orthopaedics, Graduate School of Medical Science , Kyoto Prefectural University of Medicine , Kyoto , Japan.

Objectives: To establish a new assessment tool for ulnar drift (UD) in rheumatoid arthritis (RA).

Methods: We established an observational cohort of 67 patients (134 rheumatoid hands) beginning in 2004. Fifty-two patients (100 hands) had follow-up in 2009 and 37 patients (63 hands) completed follow-up in 2015. Read More

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http://dx.doi.org/10.1080/14397595.2018.1442171DOI Listing
January 2019
4 Reads

Outcomes Following Acute Metacarpophalangeal Joint Arthroplasty Dislocation: An Analysis of 37 Cases.

J Hand Surg Am 2018 03 11;43(3):289.e1-289.e6. Epub 2017 Nov 11.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: There remains a paucity of information regarding the treatment outcomes of dislocation after metacarpophalangeal (MCP) joint arthroplasty. The purpose of this study was to assess the outcomes of surgical and nonsurgical treatment modalities of MCP arthroplasty dislocations.

Methods: Of 816 MCP joint arthroplasties over a 14-year period, there were 37 (4%) acute MCP joint dislocations that required intervention by a health care professional. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.10.001DOI Listing
March 2018
14 Reads

The Collateral Ligament of the Digits of the Hand: Anatomy, Physiology, Biomechanics, Injury, and Treatment.

Authors:
Leo M Rozmaryn

J Hand Surg Am 2017 Nov;42(11):904-915

The Orthopedic Center, The Centers for Advanced Orthopedics, Rockville, MD. Electronic address:

Ligament injuries are among the most common musculoskeletal injuries seen in clinical practice and ligaments are the most frequently injured structures in a joint. Ligaments play an important role in balancing joint mobility and joint stability. Disruption of joint ligaments severely impairs joint function. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.08.024DOI Listing
November 2017
4 Reads

Stener-like lesion of the lateral collateral ligament of the first metatarsophalangeal joint.

Skeletal Radiol 2018 Mar 16;47(3):413-417. Epub 2017 Oct 16.

Department of Radiology, Onze-Lieve-Vrouwziekenhuis Aalst, Moorselbaan 164, 9300, Aalst, Belgium.

Displaced ulnar collateral ligament injuries of the metacarpophalangeal joint of the thumb, also known as Stener lesions, are a well-recognized clinical entity, requiring surgical intervention because of the trapped location of the torn lateral collateral ligament superficial to the adductor aponeurosis of the thumb. We report a similar lesion located at the first metatarsophalangeal joint, to our knowledge the first ever described in the literature. In our patient, magnetic resonance imaging showed a full-thickness tear of the lateral collateral ligament of the first metatarsophalangeal joint, as well as a full-thickness tear of the extensor hood, with dislocation of the proximal part of the ruptured lateral collateral ligament to a position superficial to the extensor hood. Read More

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http://dx.doi.org/10.1007/s00256-017-2790-7DOI Listing
March 2018
5 Reads

Vertical locking of the metacarpophalangeal joint of the little finger: A case report.

Authors:
Yasuhiro Seki

Chin J Traumatol 2017 Oct 22;20(5):303-304. Epub 2017 Sep 22.

Department of Orthopaedic Surgery, Suwa Central Hospital, 4300 Tamagawa, Chino, Nagano 391-8503, Japan. Electronic address:

Locking of the metacarpophalangeal (MCP) joint is commonly caused by hyperextension of the thumb or moderate flexion of the index or middle finger. We report a rare case of vertical locking of the MCP joint of the little finger in a 16-year old female after blunt trauma to the little finger. The MCP joint was locked when positioned at approximately 90-degree-flexion and could not extend actively or passively. Read More

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http://dx.doi.org/10.1016/j.cjtee.2017.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5831043PMC
October 2017
7 Reads

Emergency metacarpophalangeal arthroplasty with bone grafting for traumatic joint destruction.

Orthop Traumatol Surg Res 2017 11 5;103(7):1105-1108. Epub 2017 Aug 5.

Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Galle, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.

Emergency arthroplasty of the metacarpophalangeal joint (MCPJ) remains a valuable treatment option in patients with MCPJ destruction but may raise challenges in the event of substantial metacarpal and/or phalangeal bone defects. We report three cases of MCPJ destruction with bone defects at the proximal first phalanx treated with emergency silicone implant arthroplasty combined with bone grafting. Read More

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http://dx.doi.org/10.1016/j.otsr.2017.07.007DOI Listing
November 2017
11 Reads

Direct repair of the sagittal band for extensor tendon subluxation caused by finger flicking.

Orthopade 2017 Sep;46(9):755-760

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Republic of Korea.

Purpose: For patients with metacarpophalangeal (MCP) extensor tendon subluxation caused by finger flicking injury, we performed an extensor tendon realignment and direct repair technique. The purpose of this study was to evaluate the clinical outcome after direct repair of the sagittal band in patients with MCP extensor tendon subluxation caused by finger flicking injury and to introduce the repair technique.

Methods: A total of 26 patients with a mean age of 39. Read More

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http://dx.doi.org/10.1007/s00132-017-3450-2DOI Listing
September 2017
13 Reads

The Central Slip Fracture: Results of Operative Treatment of Volar Fracture Subluxations/Dislocations of the Proximal Interphalangeal Joint.

J Hand Surg Am 2017 Jul 3;42(7):572.e1-572.e6. Epub 2017 May 3.

Department of Orthopaedic Surgery, Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, MO.

Purpose: Fractures of the base of the middle phalanx are particularly challenging. Dorsal fracture-subluxations/dislocations of the proximal interphalangeal (PIP) joint are relatively common, but the volar fracture-subluxation/dislocation, the so-called "central slip fracture," is quite rare. The current study presents our experience with surgically treated patients with central slip fracture subluxation/dislocation with a minimum of 1 year follow-up. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.03.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510930PMC
July 2017
34 Reads

Volar dislocation of the metacarpophalangeal joint of the thumb: A case report.

Acta Orthop Traumatol Turc 2017 Jul 27;51(4):352-354. Epub 2017 Apr 27.

Bagcilar Training and Research Hospital, Department of Orthopedic and Traumatology, Istanbul, Turkey.

We present an 18 year-old patient with a volar dislocation of the metacarpophalangeal joint of the thumb. Open reduction was performed through a dorsal incision. Because of the soft tissue interposition such as dorsal capsule, volar plate, dislocated extensor pollicis longus and brevis tendons, ruptured ulnar collateral ligament; open reduction, soft tissue and ligament repair are recommended for this type of thumb dislocations. Read More

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http://dx.doi.org/10.1016/j.aott.2017.03.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197413PMC
July 2017
9 Reads

Habitual dislocation of the thumb metacarpophalangeal joint in children.

Authors:
C A J Trew W L Lam

J Hand Surg Eur Vol 2017 Sep 20;42(7):753-754. Epub 2017 Jan 20.

2 Plastic Surgery Department, Royal Hospital for Sick Children, Edinburgh, UK.

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http://dx.doi.org/10.1177/1753193416687915DOI Listing
September 2017
8 Reads

Thumb Injuries in Athletes.

Hand Clin 2017 02;33(1):161-173

Department of Orthopaedics, University of Pittsburgh, Suite 911, Kaufmann Building, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA. Electronic address:

Thumb injuries are common in athletes and present a challenging opportunity for upper extremity physicians. Common injuries include metacarpal base fractures (Bennett and Rolando types), ulnar and radial collateral ligament injuries, dislocation of the carpometacarpal and metacarpophalangeal joints, and phalanx fractures. This review, although not exhaustive, highlights some of the most common thumb injuries in athletes. Read More

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http://dx.doi.org/10.1016/j.hcl.2016.08.008DOI Listing
February 2017
7 Reads

A Reconstructive Stabilization Technique for Nontraumatic or Chronic Traumatic Extensor Tendon Subluxation.

J Hand Surg Am 2017 Jan 14;42(1):e61-e65. Epub 2016 Nov 14.

Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea.

Subluxation of the extensor tendon results from a disruption to the sagittal band at the metacarpophalangeal joint. When conservative treatment fails to correct the subluxation, surgical treatment may be necessary. Surgical techniques for chronic cases vary in graft source and graft pathway. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.10.008DOI Listing
January 2017
14 Reads

[Dislocation of the extensor tendons of the hand at the metacarpo-phalangeal level (zone V of Verdan)].

Acta Ortop Mex 2016 Mar-Apr;30(2):57-60

Centro Médico ABC Santa Fe, Ciudad de México.

Material And Methods: Traumatic dislocation of the extensor tendon over the metacarpophalangeal (MCP) joint is a rare lesion that is caused by the dysfunction or rupture of the sagittal band, which is an important stabilizing structure of the extensor tendon. This mechanical alteration presents itself as instability that affects function and may cause pain or snapping during finger motion. The diagnosis is made when ulnar dislocation of the extensor tendon is observed over the MCP joint. Read More

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March 2019
8 Reads

Diagnosis, Treatment, and Return to Play for Four Common Sports Injuries of the Hand and Wrist.

J Am Acad Orthop Surg 2016 Dec;24(12):853-862

From the Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO (Dr. Goldfarb) and the Hospital for Special Surgery, New York, NY (Dr. Puri and Dr. Carlson).

Hand and wrist injuries in the high-level athlete are challenging because they may be underestimated by the patient, family, and team, and return to play may be longer than desired. The needs of the player and the team must be balanced with the long-term functional ramifications of the injury. Four common soft-tissue sports injuries are flexor digitorum profundus avulsion, flexor pulley rupture, extensor carpi ulnaris dislocation, and thumb metacarpophalangeal joint ulnar collateral ligament injury. Read More

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http://dx.doi.org/10.5435/JAAOS-D-15-00388DOI Listing
December 2016
7 Reads

A ten-year prospective outcome study of Pi2 pyrocarbon spacer arthroplasty in carpometacarpal joint osteoarthritis.

Hand Surg Rehabil 2016 09 27;35(4):255-261. Epub 2016 Jul 27.

Clinique Jeanne-d'Arc, institut de la main Nantes Atlantique, 21, rue des Martyrs, 44100 Nantes, France. Electronic address:

Surgical management of carpometacarpal osteoarthritis may use many techniques. Pi2 (pyrocarbon interposition implant) arthroplasty is one possible solution after total trapeziectomy. The present study assessed clinical and radiological results in Pi2 arthroplasty at a minimum 10years' follow-up. Read More

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http://dx.doi.org/10.1016/j.hansur.2016.05.002DOI Listing
September 2016
10 Reads

The Use of a Simple Dynamic External Fixator for the Treatment of Volar Fracture Subluxation of Proximal Interphalangeal Joints of the Fingers.

Tech Hand Up Extrem Surg 2016 Dec;20(4):161-165

Hand Unit, Al-Razi Hospital, Kuwait City, State of Kuwait.

Volar fracture dislocation is very uncommon, with few series reported in the literature. Patients with such injuries were treated by modified dynamic external fixators. The mean follow-up was 18 months (range, 6 to 92 mo). Read More

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http://dx.doi.org/10.1097/BTH.0000000000000140DOI Listing
December 2016
7 Reads

Extensor Indicis Proprius Tenodesis to Correct Finger Ulnar Drift Deformity in Rheumatoid Arthritis.

Authors:
Ricardo Monreal

Hand (N Y) 2016 09 2;11(3):336-340. Epub 2016 Feb 2.

Clínicas Maison de Santé, Lima, Peru.

The most frequent deformity of the hand occurring in patients with RA affects the metacarpophalangeal (MCP) joint and it is characterized by a volar subluxation of the proximal phalanges and ulnar drift of the fingers. The Extensor Indicis Proprius (EIP) tenodesis for correction of ulnar deviation of fingers (II to V) was performed in 10 hands (40 fingers and 5 patients). There was complete correction of the subluxation or dislocation and almost complete correction of the ulnar drift of the metacarpophalangeal joints at the initial postoperative evaluation (three to four months after surgery). Read More

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http://dx.doi.org/10.1177/1558944715626929DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5030855PMC
September 2016
5 Reads

Thumb Ligament Injuries in the Athlete.

Orthop Clin North Am 2016 Oct;47(4):799-807

Department of Orthopaedic Surgery and Biomechanical Engineering, Campbell Clinic, University of Tennessee, 1211 Union Avenue, Suite 520, Memphis, TN 38104, USA.

Hand injuries account for up to 15% of sports injuries and are common in contact sports and in sports with a high risk of falling. Appropriate management requires knowledge of the type of injury, demands of the sport and position, competitive level of the athlete, future athletic demands and expectations, and the role of rehabilitation and protective splints for return to play. Management of the athlete requires aggressive and expedient diagnostic intervention and treatment. Read More

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http://dx.doi.org/10.1016/j.ocl.2016.06.001DOI Listing
October 2016
20 Reads

Bennett Fractures A Review of Management.

Bull Hosp Jt Dis (2013) 2016 Sep;74(3):197-202

A Bennett fracture is a common injury that involves an intra-articular fracture at the base of the first metacarpal. This fracture typically results in a dorsally and radially displaced metacarpal shaft relative to the well-anchored volar ulnar fragment. Most Bennett fractures are treated with operative fixation, including closed reduction and percutaneous fixation, open reduction and internal fixation, or arthroscopically assisted fixation. Read More

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September 2016
8 Reads

Clinical Outcome of Metacarpophalangeal Joint Dislocation of the Thumb in Children: Case Series of 10 Patients.

J Hand Microsurg 2016 Apr;8(1):13-6

Department of Orthopaedics, SKIMS Medical College, Srinagar, India.

Objectives: Dislocation of the metacarpophalangeal joint of the thumb in children is an uncommon entity. The aim of this study was to evaluate the clinical outcome of pediatric patients with metacarpophalangeal joint dislocation of the thumb.

Patients And Methods: Ten pediatric patients with metacarpophalangeal joint dislocation of the thumb were evaluated. Read More

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http://dx.doi.org/10.1055/s-0035-1571262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016973PMC
April 2016
4 Reads

Dorsal Approach Decreases Operative Time for Complex Metacarpophalangeal Dislocations.

J Hand Surg Am 2016 Sep 9;41(9):e259-62. Epub 2016 Jul 9.

Department of Orthopaedic Surgery, Regions Hospital, University of Minnesota, Saint Paul, MN. Electronic address:

Purpose: Complex metacarpophalangeal (MCP) dislocations require open surgical reduction, but surgeons disagree about the best surgical approach. We hypothesized that a dorsal approach would require less operative time than would a volar approach and result in a decreased need for a secondary approach.

Methods: We performed a retrospective chart review of all isolated irreducible dorsal MCP dislocations treated at 2 level 1 trauma centers between 2005 and 2015. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.05.020DOI Listing
September 2016
7 Reads

Correction of Volar Subluxation Deformities of the Metacarpophalangeal Joints Following a Distal Radius Fracture in a Patient With Systemic Lupus Erythematosus.

J Hand Surg Am 2016 Sep 9;41(9):e295-8. Epub 2016 Jul 9.

Hand and Microsurgery Section, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Extensor tendon subluxation over the metacarpal head, leading to metacarpophalangeal joint ulnar deviation, is a hand deformity seen in patients with systemic lupus erythematosus. Apart from soft tissue procedures, metacarpal shortening osteotomy is a previously described surgical treatment for this deformity. We present a patient whose fixed deformity was spontaneously corrected after a displaced distal radius fracture. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.05.017DOI Listing
September 2016
4 Reads

Reconstruction of Extensor Tendon Dislocation Due to Chronic Sagittal Band Rupture of the Thumb Metacarpophalangeal Joint: A Case Report.

JBJS Case Connect 2016 Jul-Sep;6(3):e52

Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School.

Case: We report a case of recurrent dislocation of the extensor pollicis longus and extensor pollicis brevis tendons due to chronic rupture of the radial sagittal band of the metacarpophalangeal joint of the thumb.

Conclusion: Successful restabilization of these tendons was achieved by transferring a half-slip of the abductor pollicis brevis tendon. Read More

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http://dx.doi.org/10.2106/JBJS.CC.15.00224DOI Listing
February 2018
11 Reads

DIFFICULT DISLOCATIONS.

Authors:
W Paulson

Practitioner 2016 Apr;260(1792):29

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April 2016
6 Reads

Complex Dorsal Metacarpophalangeal Dislocation: Long-Term Follow-Up.

J Hand Surg Am 2016 Aug 14;41(8):e229-33. Epub 2016 Jun 14.

Orthopedic Department, Emek Medical Center, Afula, Israel; Faculty of Medicine, Technion, Haifa, Israel.

Purpose: To describe the long-term follow-up results of complex dorsal metacarpophalangeal joint dislocation (MPJD). We hypothesize that there would be no long-term functional deficit in most patients, even with the presence of one of the familiar complications.

Methods: We describe 5 patients with a median follow-up of 13 (range, 7-36) years and review the literature focusing on follow-up and complications. Read More

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http://dx.doi.org/10.1016/j.jhsa.2016.05.010DOI Listing
August 2016
18 Reads

Delayed Presentation of Metacarpophalangeal Joint Dislocation of the Thumb in Children Requiring Open Reduction: Two Cases Reported and Review ofLiterature.

J Orthop Case Rep 2015 Jul-Sep;5(3):5-8

Department of Orthopaedics, Alder Hey Children's Hospital, Liverpool, UK.

Introduction: Dislocation of the metacarpophalangeal joint (MCPJ) of the thumb is rare in children and delayed presentation of this injury is even more uncommon in the literature. We report two cases, both children, who presented to fracture clinic with a dislocated thumb over one week after initial injury. In each case closed reduction was attempted but failed, and open reduction was necessary. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.293DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719401PMC
June 2016
10 Reads

Acute Dislocation of the Metacarpal-Trapezoid Joint.

Clin Orthop Surg 2016 Jun 10;8(2):223-7. Epub 2016 May 10.

Department of Orthopedics and Traumatology, Hospital Universitario de Santander, Universidad Industrial de Santander, Bucaramanga, Colombia.

The trapezoid metacarpal dislocation is a rare event. In the literature, it is found in case reports. This injury is caused by direct or indirect high energy trauma. Read More

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http://dx.doi.org/10.4055/cios.2016.8.2.223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870329PMC
June 2016
3 Reads

Rare carpometacarpal dislocations.

Orthop Traumatol Surg Res 2016 10 17;102(6):813-6. Epub 2016 May 17.

CHU de Nîmes, Department of Radiology, 4, rue du Professeur-Robert-Debré, 30029 Nîmes, France. Electronic address:

Posttraumatic carpal and carpometacarpal dislocations represent a heterogeneous group of disorders resulting from high-energy wrist trauma. Perilunate injury is the most common and best-known manifestation of carpal dislocation, typically occurring after hyperextension trauma. Other forms are very rare and have different causative mechanisms. Read More

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http://dx.doi.org/10.1016/j.otsr.2016.04.003DOI Listing
October 2016
6 Reads

Metacarpophalangeal Joint Dislocation Following Tendon Transfer to the Thumb.

J Hand Surg Am 2016 Mar 15;41(3):483-6. Epub 2016 Feb 15.

Department of Orthopaedic Surgery, UConn Musculoskeletal Institute, UConn Health Center, Farmington, CT. Electronic address:

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http://dx.doi.org/10.1016/j.jhsa.2015.04.040DOI Listing
March 2016
5 Reads

Simultaneous extraarticular fracture of the base of the first metacarpal and dislocation of the metacarpophalangeal joint of the thumb: A case report.

Chin J Traumatol 2015 ;18(4):232-4

Service de Traumatologie, Orthopédie, CHU Sylvanus Olympio, Lomé, Togo.

Double fracture-dislocations of the thumb are rare. Only a single case report of a simultaneous extra- articular fracture of the base of the first metacarpal and dislocation of the metacarpophalangeal joint has been previously reported. We report the second case report of this injury in a 20-year-old man. Read More

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January 2017
5 Reads

Motorcyclist's thumb: carpometacarpal injuries of the thumb sustained in motorcycle crashes.

J Hand Surg Eur Vol 2016 Sep 6;41(7):707-9. Epub 2015 Dec 6.

Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD, USA

Unlabelled: The purpose of this study was to investigate motorcycle crash thumb injury patterns. We hypothesized that ulnar collateral ligament injuries at the thumb metacarpophalangeal joint would be most common and there would be a side predilection due to the clutch and brake positions. Motorcyclist admissions following injury between 2002 and 2013 were reviewed, and phalangeal and metacarpal injuries treated acutely identified. Read More

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http://dx.doi.org/10.1177/1753193415620186DOI Listing
September 2016
4 Reads

[Ligament reconstruction in extensor tendon dislocation].

Oper Orthop Traumatol 2015 Oct 11;27(5):394-403. Epub 2015 Sep 11.

Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.

Objective: Stabile recentering the extensor tendon over the top of the head of the metacarpal to restore the exact tension and the direction.

Indications: Dislocation of the extensor tendon at the metacarpophalangeal (MP) joint with functional disabilities of the fingers.

Contraindications: Severe osteoarthritis of the MP joint. Read More

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http://dx.doi.org/10.1007/s00064-015-0419-3DOI Listing
October 2015
4 Reads

[Ligament reconstruction for lunotriquetral instability using a distally based strip of the extensor carpi ulnaris tendon].

Oper Orthop Traumatol 2015 Oct 22;27(5):404-13. Epub 2015 Aug 22.

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.

Objective: Stabilization of the lunotriquetral junction.

Indications: Dynamic and static chronic instability without fixed dislocation of the carpals.

Contraindications: Chronically fixed dislocation of the carpals, ulnar impaction syndrome, osteoarthritis of the joint between hamate and triquetrum and other parts of the wrist joint, rheumatoid arthritis, chondrocalcinosis. Read More

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http://dx.doi.org/10.1007/s00064-015-0415-7DOI Listing
October 2015
5 Reads

Snake bite induced cellulitis leading to infected open dislocation of the first metacarpophalangeal joint - A rare complication.

J Clin Orthop Trauma 2015 Sep 21;6(3):195-8. Epub 2015 Mar 21.

Professor and Head, Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

Non-traumatic open dislocation of the first metacarpophalangeal joint is a rare phenomenon. We present a rare such occurrence secondary to snake bite induced cellulitis. A 22-year-old girl presented with pain and instability of her right thumb two months. Read More

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http://dx.doi.org/10.1016/j.jcot.2015.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488026PMC
September 2015
4 Reads

Closed Sagittal Band Injury of the Metacarpophalangeal Joint.

J Am Acad Orthop Surg 2015 Jul;23(7):415-23

Although it is an uncommon injury, traumatic rupture of the sagittal band often results in subluxation or dislocation of the extensor digitorum communis tendon. The radial sagittal band prevents ulnar subluxation of the extensor tendon at the metacarpophalangeal joint. Injury may result from a direct blow to the hand or from relatively low-energy mechanisms. Read More

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http://pdfs.journals.lww.com/jaaos/2015/07000/Closed_Sagitta
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http://www.jaaos.org/cgi/doi/10.5435/JAAOS-D-13-00203
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http://dx.doi.org/10.5435/JAAOS-D-13-00203DOI Listing
July 2015
95 Reads

Emergency Open Reduction for an Irreducible Dislocation of the Metacarpophalangeal Joint of the Thumb in a Child.

J Hand Microsurg 2015 Jun 14;7(1):166-9. Epub 2014 May 14.

Department of Orthopaedic Surgery, The University of Arizona, 1609 N. Warren Ave. Bld. 220, Room 108, Tucson, AZ 85719 USA.

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http://dx.doi.org/10.1007/s12593-014-0135-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461604PMC
June 2015
3 Reads

Trapeziectomy With a Tendon Tie-in Implant for Osteoarthritis of the Trapeziometacarpal Joint.

J Hand Surg Am 2015 Jul 3;40(7):1292-7. Epub 2015 Jun 3.

University College London Hospital, London, United Kingdom.

Purpose: To evaluate the early to mid-term clinical and radiological outcomes of trapeziectomy with a tendon tie-in trapezium implant arthroplasty for moderate to severe trapeziometacarpal (TMC) joint osteoarthritis (Eaton stages III to IV).

Methods: We assessed all patients who underwent trapeziectomy and tendon tie-in trapezium implant arthroplasty stabilized with a Weilby flexor carpi radialis tendon sling for osteoarthritis of the TMC joint between 2008 and 2010 at our institution. Twenty-two patients (28 thumbs) who had had an operation at least 12 months earlier were clinically evaluated at an average follow-up of 18 months. Read More

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http://dx.doi.org/10.1016/j.jhsa.2015.04.020DOI Listing
July 2015
52 Reads

Open metacarpophalangeal dislocations: literature review and case report.

Hand (N Y) 2015 Jun;10(2):333-7

Division of Plastic and Reconstructive Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4 Canada.

Background: Open dorsal metacarpophalangeal joint dislocations are rare. We report the case of a 62-year-old man who fell from a height of 10 m onto his left outstretched hand and presented to us with four open dorsal metacarpophalangeal joint dislocations. We review the literature and present our case to elucidate the best treatment protocol for open dorsal metacarpophalangeal joint dislocations. Read More

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http://han.sagepub.com/content/10/2/333.full.pdf
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http://link.springer.com/10.1007/s11552-014-9646-6
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http://dx.doi.org/10.1007/s11552-014-9646-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447668PMC
June 2015
5 Reads

Assessment of malalignment at the metacarpophalangeal joint of the rheumatoid hand using three-dimensional computed tomogram.

Mod Rheumatol 2016 20;26(1):62-7. Epub 2015 Jul 20.

a Department of Rheumatology , Niigata Rheumatic Center , Niigata , Japan.

Objective: For the assessment of rheumatoid hand, three-dimensional (3D) malalignment including flexed or rotational deformities and dislocation at the finger joint is one of the important findings. The objective of this study is to prove usefulness of 3D computed tomography (3DCT) for the accurate measurement of palmoulnar flexion deformity at the metacarpophalangeal (MP) joint of the rheumatoid hand.

Methods: Swanson implant arthroplasty at the 2nd through the 5th MP joints was performed at 179 joints in 46 hands of 40 patients with rheumatoid arthritis. Read More

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http://dx.doi.org/10.3109/14397595.2015.1056992DOI Listing
August 2016
12 Reads