640 results match your criteria Metacarpophalangeal Joint Dislocation


Complex Metacarpophalangeal Dislocation.

Eplasty 2020 2;20:ic3. Epub 2020 Mar 2.

Michigan State University College of Human Medicine, Grand Rapids.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237763PMC

Bilateral radial collateral ligament rupture in a shoemaker: A case report and brief literature review.

Medicine (Baltimore) 2020 May;99(19):e20126

Department of Hand Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin.

Introduction: Rupture of the radial collateral ligament (RCL) of the index metacarpophalangeal (MCP) joint is mostly related to acute local mechanical causes, which severely affect the stability of the MCP joint. However, few cases of chronic bilateral job-related RCL injury have been reported in the literature. There is no consensus on the knowledge of the disease to date. Read More

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http://dx.doi.org/10.1097/MD.0000000000020126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220783PMC

Recurrent volar dislocation of the metacarpophalangeal joint of the thumb with radial collateral ligament injury: A case report.

Int J Surg Case Rep 2020 6;68:96-99. Epub 2020 Feb 6.

Department of Orthopedic Surgery, Tokyo Women's Medical University, Japan.

Introduction: A volar dislocation of the metacarpophalangeal (MCP) joint of the thumb is a rare trauma, and in combination with a radial collateral ligament (RCL) injury is much rarer. We present a surgical case with a recurrent volar dislocation of the MCP joint of the thumb with RCL injury.

Presentation Of Case: A 47-year-old man was referred to our hospital in the subacute phase. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.01.056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7052476PMC
February 2020

Factors Associated With Reoperation After Silicone Metacarpophalangeal Joint Arthroplasty in Patients With Inflammatory Arthritis.

Hand (N Y) 2019 Mar 12:1558944719831236. Epub 2019 Mar 12.

Massachusetts General Hospital, Boston, USA.

Silicone metacarpophalangeal (MCP) joint arthroplasty has a high revision rate. It has been suggested that the preoperative degree of ulnar drift and radial wrist deviation influences the durability of MCP silicone arthroplasties. The goal of this study was to evaluate what factors are associated with reoperation after silicone MCP arthroplasty. Read More

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http://dx.doi.org/10.1177/1558944719831236DOI Listing

Opening-wedge V-shaped corrective osteotomy for malunited fractures of metacarpal bones.

J Orthop 2020 May-Jun;19:208-211. Epub 2019 Nov 6.

Department of Traumatology, Orthopaedics and Outpatient Surgery, Samara State Medical University, Samara, Russian Federation.

Currently, the most commonly used method of treatment of patients with fractures of the metacarpal bones is closed reposition with immobilization of short-arm cast. This often leads to dislocation of fragments, their malunion, which leads to wrist functionality disorders and reduces the quality of patients' life. The main way to eliminate the deformities ‒ osteotomy of the metacarpal bones, followed by osteosynthesis. Read More

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http://dx.doi.org/10.1016/j.jor.2019.10.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011004PMC
November 2019

Anatomical relationship between the sagittal band and extensor tendon of the thumb: a focus on variations of the extensor pollicis brevis tendon insertion.

Anat Sci Int 2020 Jun 8;95(3):356-362. Epub 2020 Feb 8.

Department of Anatomy, School of Medicine, Aichi Medical University, Nagakute, Aichi, 480-1195, Japan.

The sagittal band of the finger is an aponeurosis-like structure surrounding the metacarpophalangeal joint. Sagittal band rupture causes extensor tendon dislocation from the dorsal side of the metacarpophalangeal joint. The thumb has two extensor tendons: extensor pollicis longus and extensor pollicis brevis tendons. Read More

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http://dx.doi.org/10.1007/s12565-020-00528-0DOI Listing

Metacarpophalangeal joint extensor tendon centralisation: a new technique using the juncturae tendinum with a proximal based partial extensor digitorum communis slip.

Ann R Coll Surg Engl 2020 May 31;102(5):391. Epub 2020 Jan 31.

Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, UK.

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http://dx.doi.org/10.1308/rcsann.2020.0016DOI Listing

Use of the Bridge Plate Technique for the Treatment of Hamatometacarpal Fracture-Dislocations.

J Hand Surg Asian Pac Vol 2020 Mar;25(1):67-75

Department of Orthopedic Surgery, Medical Center of Chung-Ang University School of Medicine, Seoul, Korea.

This study aimed to describe a novel surgical technique in which a bridge plate was used for the treatment of hamatometacarpal fracture-dislocations and to assess its radiologic and clinical outcomes. A retrospective review of 16 patients treated with the bridge plate technique for hamatometacarpal fracture-dislocations was performed between 2010 and 2015. Clinical and radiographic evaluations were performed at months 3, 6, and 12 postoperatively. Read More

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http://dx.doi.org/10.1142/S2424835520500095DOI Listing

[Our Initial Experience with Radial Head Replacement].

Acta Chir Orthop Traumatol Cech 2019 ;86(5):362-367

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

PURPOSE OF THE STUDY A single treatment procedure for multi-fragmented non-reconstructible radial head fractures has not been established as of yet. One of the available treatment methods can be the implantation of an endoprosthesis, but there is no consensus in available publications. We therefore decided to trial their use and to obtain our own experience. Read More

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December 2019

Long-term Outcomes of Silastic Arthroplasty of the Thumb Metacarpophalangeal Joint.

Hand (N Y) 2019 Oct 3:1558944719878841. Epub 2019 Oct 3.

Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Silastic metacarpophalangeal arthroplasty (SMPA) has proven to be a durable option for end-stage arthritis in the non-thumb digits, while fusion has been the mainstay procedure for the thumb metacarpophalangeal joint (MP). Few studies exist to comment on the viability of thumb MP arthroplasty. This study reports both survival and objective outcomes following SMPA of the thumb. Read More

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http://dx.doi.org/10.1177/1558944719878841DOI Listing
October 2019
1 Read

Iatrogenic displacement of the metacarpal head of the index finger while attempting closed reduction of a complex dorsal metacarpophalangeal joint dislocation.

Trauma Case Rep 2019 Oct 28;23:100243. Epub 2019 Aug 28.

Department of Orthopaedic Surgery, Osaka General Hospital of West Japan Railway Company, Osaka, Japan.

We describe the case of an 84-year-old woman with a dorsal dislocation of the metacarpophalangeal (MCP) joint of the left index finger. Closed reduction was performed at an orthopaedic clinic which led to an iatrogenic complete displacement of the second metacarpal head to the volar side. Because reduction was impossible, surgery was performed. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727105PMC
October 2019
1 Read

Midterm Clinical and Radiographic Follow-Up of Pyrolytic Carbon PIP Arthroplasty.

J Hand Surg Am 2020 Mar 14;45(3):253.e1-253.e6. Epub 2019 Aug 14.

Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA. Electronic address:

Purpose: The use of pyrolytic carbon arthroplasty (PCA) for the proximal interphalangeal (PIP) joint is controversial. The goal of this study was to evaluate the clinical and radiographic midterm outcomes of PIP joint PCA.

Methods: Patients were contacted after PIP PCA at 6. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.06.008DOI Listing
March 2020
4 Reads

Complex thumb metacarpophalangeal joint dislocation caused by ulnar collateral ligament entrapment in a 6-year-old.

J Hand Surg Eur Vol 2019 12 12;44(10):1092-1094. Epub 2019 Aug 12.

Nuffield Orthopedic Centre, Oxford University Hospitals, Oxford, UK.

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http://dx.doi.org/10.1177/1753193419867007DOI Listing
December 2019
5 Reads

Complex metacarpophalangeal joint dislocation of the litter finger: A sesamoid bone seen within joint. What does it mean?

Trauma Case Rep 2019 Oct 25;23:100225. Epub 2019 Jul 25.

Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V (HMIMV), University Mohamed V Faculty of Medecine and Pharmacy, BP 10100 Rabat, Morocco.

Dislocation of the metacarpophalangeal joint is a rare injury. The index finger is most frequently involved, followed by the thumb; the little finger is very seldom affected. The Complex dislocation of the little finger metacarpophalangeal joint is extremely rare. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100225DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664224PMC
October 2019
5 Reads

Pediatric Hand Injuries Requiring Closed Reduction at a Tertiary Pediatric Care Center.

Hand (N Y) 2019 Jun 4:1558944719850635. Epub 2019 Jun 4.

2 Division of Emergency Medicine, Children's Hospital of Eastern Ontario, Ottawa, Canada.

Objectives: Hand fractures and dislocations are common injuries in the pediatric population. This study aims to characterize the pediatric hand injuries that required closed reduction and identify those that required multiple reduction attempts.

Methods: A retrospective cohort study was carried out in patients younger than 18 years of age with hand fractures or dislocations who underwent closed reduction in the emergency department (ED). Read More

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http://dx.doi.org/10.1177/1558944719850635DOI Listing
June 2019
6 Reads

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

Case Rep Orthop 2019 10;2019:1063829. Epub 2019 Apr 10.

Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal.

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. Read More

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http://dx.doi.org/10.1155/2019/1063829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481117PMC
April 2019
8 Reads

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
12 Reads

Dorsal Block Splinting of Volar Plate Injuries at Neutral Position.

Ann Plast Surg 2019 05;82(5):520-522

Purpose: Volar plate injuries of the proximal interphalangeal joint (PIPJ) of a finger are common, often occurring in sporting or workplace incidents. Treatment of a stable dorsal dislocation entails a conservative approach, directed at preventing hyperextension and allowing the ligament to heal in position that does not negatively impact on healing. Current treatment regimens include dorsal block splinting (DBS) in 30° of flexion, which maintains the PIPJ in flexion in order to prevent any strain on the healing tissue while attempting to restore anatomical position. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001820DOI Listing
May 2019
14 Reads

[Dorsal plate arthrodesis of the thumb metacarpophalangeal joint].

Oper Orthop Traumatol 2020 Feb 26;32(1):47-57. 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 2020
11 Reads

Additional Dorsal Fibrocartilage Repair in a Combined Radial Collateral Ligament and Dorsal Fibrocartilage Injury of the Thumb Metacarpophalangeal Joint.

Orthopedics 2019 Mar 14;42(2):e268-e272. Epub 2019 Feb 14.

The purpose of this study was to evaluate the necessity of an additional dorsal fibrocartilage (DFC) repair in combined radial collateral ligament (RCL) and DFC injuries of the thumb metacarpophalangeal joint (MPJ). Eight cadaveric thumbs were used. Ulnar/radial deviation, prosupination, and volar/dorsal laxity were measured. Read More

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http://dx.doi.org/10.3928/01477447-20190211-03DOI Listing
March 2019
11 Reads

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
7 Reads

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
18 Reads

[A girl with a deviated index finger].

Ned Tijdschr Geneeskd 2019 01 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
10 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
11 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
10 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
8 Reads

Locked Thumb Metacarpophalangeal Joint Caused by Entrapment of the Sesamoid Bone: A Report of 2 Cases.

Ann Plast Surg 2019 01;82(1S Suppl 1):S130-S135

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, and.

Locked thumb metacarpophalangeal joint caused by entrapment of the sesamoid bone is an uncommon entity. The intact volar plate, strong ligamentous attachment between the sesamoid bone and the joint, and altered axis of inserted muscle all contribute to failure of closed reduction. The patient's history, clinical presentation, and plain radiographic findings are all important clues to diagnosing this rare disease. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001702DOI Listing
January 2019
31 Reads

Revision Metacarpophalangeal Arthroplasty: A Longitudinal Study of 128 Cases.

J Am Acad Orthop Surg 2019 Mar;27(6):211-218

From the Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN.

Purpose: The objective was to examine outcomes associated with a large cohort of revision metacarpophalangeal (MCP) arthroplasties.

Methods: A review of 128 revision MCP arthroplasties performed in 64 patients was performed. The mean age at surgery was 62 years. Read More

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http://Insights.ovid.com/crossref?an=00124635-900000000-9956
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http://dx.doi.org/10.5435/JAAOS-D-17-00042DOI Listing
March 2019
9 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
7 Reads

Isolated open metacarpophalangeal dislocation of the little finger.

Hand Surg Rehabil 2018 10 30;37(5):324-325. Epub 2018 Aug 30.

Hand and Microsurgery Unit, Hospital Universitari Quiron-Dexeus, ICATME, Calle Sabino Arana 5-19, 08028 Barcelona, Spain; Traumatology and Orthopedic Surgery Department, University Hospital of Vall d'Hebron, Universitat Autónoma de Barcelona, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.

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http://dx.doi.org/10.1016/j.hansur.2018.06.001DOI Listing
October 2018
6 Reads

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

Hand (N Y) 2020 Jan 17;15(1):87-91. Epub 2018 Jul 17.

University Hospital of Pisa, Italy.

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966295PMC
January 2020
16 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
9 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
11 Reads

Sagittal band reconstruction in the index finger using a modified Elson technique.

J Orthop Surg (Hong Kong) 2018 Jan-Apr;26(1):2309499017749985

1 Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Chuo-ku, Sapporo, Japan.

Purpose: The Elson technique is a rigid reconstruction method for a hypoplastic or absent sagittal band in the treatment of chronic extensor digitorum communis (EDC) tendon dislocation. We performed a modified procedure based on the Elson technique for reconstruction of the radial sagittal band in case involving the index finger. We investigated the postoperative outcomes of chronic EDC dislocation after treatment with the original and modified Elson technique. Read More

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http://journals.sagepub.com/doi/10.1177/2309499017749985
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http://dx.doi.org/10.1177/2309499017749985DOI Listing
September 2019
5 Reads

The Trapezium Dislocation: Case Presentation, Review of the Literature, Radiographic Analysis, Proposed Classification, and Treatment.

Hand (N Y) 2019 05 29;14(3):299-304. Epub 2017 Nov 29.

1 The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Background: Trapezium dislocations are rare injuries.

Methods: A PubMed search of the term "trapezium dislocation" was conducted. Publications reporting a complete trapezium dislocation were included in the review. Read More

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http://dx.doi.org/10.1177/1558944717744339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535940PMC
May 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
22 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
9 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
8 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
12 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
19 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
36 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
60 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
16 Reads

Habitual dislocation of the thumb metacarpophalangeal joint in children.

Authors:
C A J Trew W L Lam

J Hand Surg Eur Vol 2017 09 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
11 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
27 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
34 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
25 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
14 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
19 Reads