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Case Reports
. 2012 Oct 22:2012:bcr2012006295.
doi: 10.1136/bcr-2012-006295.

Double dislocation of finger interphalangeal joints

Saqib Aziz Jahangiri  1 , Prabhakar Mestha, Scarlett McNally
Affiliations
Case Reports

Double dislocation of finger interphalangeal joints

Saqib Aziz Jahangiri et al. BMJ Case Rep. .

Abstract

A 62-year-old, right-hand-dominant man who had dementia and lived in an Elderly Mentally Infirm (EMI) nursing home was admitted through Accident & Emergency (A&E) department following unwitnessed injury to the left little finger. His examination revealed a swollen and deformed left little finger with a laceration along the middle crease on the volar aspect and head of proximal phalanx visible through this. Distally sensations and capillary refill was normal. X-rays showed a double dislocation of both proximal and distal interphalangeal joints. The finger was reduced under ring block and the laceration was washed with saline in A&E. The patient was taken to the operation theatre next morning for wound exploration and wash-out±stabilistion of the finger under general anaesthesia. The wound was thoroughly washed out and closed with 4/0 interrupted nylon. The finger was immobilised with neighbour strapping and bandaged in flexion.

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Figures

Figure 1
Figure 1
X-ray of Left hand AP and Lateral views showing dislocation of Proximal and Distal Inter-phalangeal joints of little finger.
Figure 2
Figure 2
Post reduction x-ray, AP view Little Finger.
Figure 3
Figure 3
Post reduction x-ray, Lateral view Little Finger.
See this image and copyright information in PMC

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