655 results match your criteria Metacarpophalangeal Joint Dislocation

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

SAGE Open Med Case Rep 2021 3;9:2050313X211021180. Epub 2021 Jun 3.

Division of Plastic & Reconstructive Surgery, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.

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. Read More

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Neglected volar subluxation of the metacarpophalangeal joint of the thumb: A case report.

Acta Biomed 2021 04 30;92(S1):e2021034. Epub 2021 Apr 30.

Medicine Hospital, Istanbul, Turkey.

We present an 30 year-old female patient with a volar subluxation of the metacarpophalangeal joint of the thumb.Dislocation  of the metacarpophalangeal joint is rare ; volar subluxation is much more rare. Open reduction was performed through a dorsal incision because of the soft tissue interposition. Read More

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Rare presentation of bilateral thumb psoriatic arthritis treated with arthrodesis: a case report.

AME Case Rep 2021 25;5:18. Epub 2021 Apr 25.

Department of Orthopaedic Surgery, Georgetown University School of Medicine, Washington, DC, USA.

Psoriatic arthritis (PsA) is a seronegative inflammatory arthritis that occurs concomitantly with cutaneous manifestations and tendinous pathology that affects up to 1% of the general population. While the majority of cases are mild, nearly 20% of PsA patients will progress to severe disease manifesting as debilitating polyarticular inflammation and joint destruction. PsA is most commonly asymmetric and bilateral severe disease involving the same joints in each hand has rarely been reported in the literature. Read More

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Do Not Simply Pull a Dislocated Finger.

J Pediatr 2021 Apr 2. Epub 2021 Apr 2.

Department of Medicine, Surgery, and Health Sciences, University of Trieste, Trieste, Italy; Institute for Maternal and Child Health, Italian Research Hospital "Burlo Garofolo", Trieste, Italy.

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Rotatory subluxation of the proximal interphalangeal joint: an easily missed diagnosis.

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Trauma and Orthopaedics, Bristol Royal Infirmary, Bristol, UK.

We present a case of volar rotatory subluxation of index finger proximal interphalangeal joint (PIPJ) following a skiing accident. The injury was initially perceived to be a central slip rupture and treatment was directed as such. After the initial delay in the diagnosis, the patient underwent surgery during which his radial collateral ligament was found to be avulsed from the proximal origin, the radial lateral band palmarly subluxed and was interposed in the joint space. Read More

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January 2021

Functional anatomy of the sagittal bands and mechanisms of extensor tendon dislocation: a cadaveric study.

J Hand Surg Eur Vol 2020 Oct 22:1753193420963257. Epub 2020 Oct 22.

Department of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.

We investigated the functional anatomy of the radial sagittal band and possible mechanisms involved in its spontaneous and traumatic rupture using seven cadaveric hands. First, the extensor tendon excursion and the change in angle between the sagittal bands and the tendon path were measured during metacarpophalangeal joint flexion. The radial bands were then divided in two different ways that mimicked spontaneous or traumatic rupture. Read More

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October 2020

Extensor Tendon Dislocation at the Metacarpophalangeal Joint of Both Ring Fingers Caused by a Specific Hand Posture in a Shiatsu Therapist.

Case Rep Orthop 2020 22;2020:6842986. Epub 2020 Sep 22.

Department of Orthopaedic Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8606, Japan.

A 43-year-old female shiatsu therapist complained of sudden snapping of the metacarpophalangeal joints (MCPjs) of both ring fingers during a specific hand posture. The extensor tendon of the ring finger was dislocated ulnarly when the MCPj of the ring finger was flexed and deviated ulnarly and the MCPj of the middle finger was extended. Surgical exploration revealed an attenuated radial sagittal band. Read More

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September 2020

Factors Related to Failure of Conservative Treatment in Volar Plate Avulsion Fractures of the Proximal Interphalangeal Joint.

Clin Orthop Surg 2020 Sep 3;12(3):379-385. Epub 2020 Jun 3.

Department of Orthopaedic Surgery, National Medical Center, Seoul, Korea.

Backgroud: Volar plate avulsion fractures of the proximal interphalangeal (PIP) joint are a common hand injury and have been treated conservatively with favorable results. We assumed that conservative treatment of volar plate avulsion fractures of the PIP joint would be unsuccessful if the fracture fragment, even if small, was much displaced or rotated and that delayed excision of the avulsion fractures would result in good outcomes. We report clinical and radiological outcomes of conservative treatment of volar plate avulsion fractures of the PIP joint and risk factors for failure of conservative treatment. Read More

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September 2020

Ulnar collateral ligament injuries of the first metacarpophalangeal joint: prevalence of associated injuries on radiographs and MRI.

Skeletal Radiol 2021 Mar 20;50(3):505-513. Epub 2020 Aug 20.

Clinic of Radiology and Nuclear Medicine, University of Basel Hospital, Petersgraben 4, 4031, Basel, Switzerland.

Purpose: To evaluate the prevalence of associated findings at the first metacarpophalangeal joint on radiographs and MRI following acute ulnar collateral ligament (UCL) injuries.

Materials And Methods: This retrospective study included 25 patients with an injury of the UCL at MRI. Presence of associated injuries to the volar ligaments (checkrein and phalangoglenoid ligaments and volar plate) was assessed on radiographs and MRI independently by two musculoskeletal radiologists. Read More

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

Leon Alexander

J Hand Surg Asian Pac Vol 2020 Sep;25(3):378-383

Department of Plastic & Reconstructive Surgery, Universal Hospital, Abu Dhabi, UAE.

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. Read More

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September 2020

The Importance of Restoring Anatomy of the Proximal Interphalangeal Joint in Dorsal Fracture Dislocations.

J Hand Surg Asian Pac Vol 2020 Sep;25(3):257-266

Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.

The proximal interphalangeal joint (PIPJ) is a complex anatomical structure. In managing fracture dislocations about the PIPJ, the aim is to restore a congruent joint that allows for smooth gliding motion. Detailed knowledge of the anatomy and biomechanics of the PIPJ is necessary in managing these injuries with predictable success. Read More

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September 2020

New approach to second metacarpophalangeal joint dislocation management: the SKY needling technique.

Eur J Orthop Surg Traumatol 2021 Jan 11;31(1):189-192. Epub 2020 Jul 11.

Department of Orthopedics, AIIMS, Raipur, India.

Second metacarpophalangeal dislocation is a rare entity, wherein correct diagnosis can be achieved by careful and experienced clinical examination that must be followed by radiological examination. This mostly requires open reduction either by dorsal or volar approach. Open reduction by volar approach is being used most widely but has more incidence of postoperative loss of sensation at volar aspect of finger due to neurovascular injury (digital nerve and vessel) and also required more extensive dissection. Read More

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January 2021

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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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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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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February 2020

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

Hand (N Y) 2020 11 12;15(6):805-811. 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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November 2020

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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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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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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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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[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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October 2019

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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October 2019

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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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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December 2019

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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October 2019

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

Hand (N Y) 2021 Mar 4;16(2):235-240. Epub 2019 Jun 4.

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

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. : 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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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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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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