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Case Reports
. 2020 Mar 2:20:ic3.
eCollection 2020.

Complex Metacarpophalangeal Dislocation

Minh Thu An  1 , Joshua P Kelley  1   2 , Matthew P Fahrenkopf  1   2 , John P Kelpin  1   2 , Nicholas S Adams  1   2 , Viet Do  1   2   3
Affiliations
Case Reports

Complex Metacarpophalangeal Dislocation

Minh Thu An et al. Eplasty. .
No abstract available

Keywords: complex dislocation; index dislocation; metacarpophalangeal joint dislocation; open reduction; volar plate.

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Figures

Figure 1
Figure 1
Posteroanterior (a) and lateral (b) radiographic images showing dorsal dislocation of the left index metacarpophalangeal joint and ulnar shift of the proximal phalanx.
Figure 2
Figure 2
Hyperextension and volar skin dimpling are noted in this complex dislocation of the left index finger.
Figure 3
Figure 3
The dislocated metacarpophalangeal joint is visualized through a volar approach. The entrapped volar plate is seen adjacent to the metacarpal head.
Figure 4
Figure 4
The tension from the A1 pulley was relieved to reposition the volar plate.
See this image and copyright information in PMC

References

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    1. Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS. Green's Operative Hand Surgery. 8th ed. Philadelphia, PA: Elsevier; 2017. Dislocations and ligament injuries of the digits; pp. 278–317.
    1. Durakbasa O, Guneri B. The volar surgical approach in complex dorsal metacarpophalangeal dislocations. Injury. 2009;40(6):657–9. - PubMed
    1. Ip K, Wong L, Yu S. Dorsal dislocation of the metacarpophalangeal joint of the thumb: a case report. J Orthop Surg. 2008;16(1):124–6. - PubMed
    1. Mudgal CS, Mudgal S. Volar open reduction of complex metacarpophalangeal dislocation of the index finger. Tech Hand Up Extrem Surg. 2006;10(1):31–6. - PubMed

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