Complex multiple Metacarpo phalangeal joint dislocation. Is closed reduction, a good treatment option?
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Introduction: Multiple Metacarpophalangeal (MCP) joint dislocations are relatively rare in comparison with the single Metacarpophalangeal joint dislocation in either plane with limited literature evidence. Case Report: Hereby, we present a case of 40 year old male who presented with Kaplan’s dimple sign and “double Z deformity” of his left hand following a fall onto his out stretched hand. Radiological investigation revealed Multiple MCP joint dislocations involving his left index and middle finger. The 2nd MCPJ dislocation was simple closed one while the 3rd MCPJ dislocation was compound open type. The complex multiple MCPJ dislocation was treated successfully with closed reduction under wrist block. The patient is in regular follow-up with no recurrence and good hand function at the end of one year. Conclusion: Complex multiple MCP joint dislocation can be treated successfully with closed reduction using proper reduction technique.
Authors and Affiliations
Dr. Kalaivanan Kanniyan, Dr. Karthi Sundar Vellaiputhiyavan, Dr. Aditya C Pathak
Keywords
Related Articles
- EP ID EP487814
- DOI 10.22271/ortho.2018.v4.i4d.37
- Views 100
- Downloads 0
Functional outcome of bony PCL avulsions fixed with Mini open technique
Introduction: To evaluate the functional outcome in bony Posterior Cruciate Ligament (PCL) avulsion fractures treated with open reduction and internal fixation through Mini open technique. The approach is safe, and simpl...
C2 dens fracture with closed cervical migration of a 6cm humeral fragment
Case: A 39-year-old woman, with bipolar disorder, suffered an eight-meter fall, resulting in dens and proximal and distal humeral fractures associated with migration of a 6cm humerus fragment to the left cervical region....
Incidence, ultrasound evaluation and outcome of syndesmotic injuries in patients with ankle sprain
Background and Objectives: Ankle sprain is one of the most common injuries in general population. Lateral ankle sprain make up a majority of these injuries and literature describes a high degree of success with quick ret...
A prospective study for definitive diagnosis of various arthropathies by synovial fluid analysis and percutaneous needle biopsy of synovium
Objectives: To evolve a diagnostic pattern of synovial fluid analysis, thus determining the usefulness of routine synovial fluid analysis as a simple diagnostic aid in various forms of arthritis. Background: Synovial flu...
Surgical management of fracture both bone forearm in adult using limited contact dynamic compression plate
Background and objectives: The forearm represents a critical anatomic unit of the upper limb, permitting the effector organ of the upper limb, the hand, to perform multi axial daily activities of living. Historically, th...