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Review
. 2025 Jul 17:15589447251339499.
doi: 10.1177/15589447251339499. Online ahead of print.

Management of Non-thumb Volar Metacarpophalangeal Joint Dislocations: Case Series and Review of Literature

Affiliations
Review

Management of Non-thumb Volar Metacarpophalangeal Joint Dislocations: Case Series and Review of Literature

Kiera Vrindten et al. Hand (N Y). .

Abstract

Volar metacarpophalangeal (MCP) joint dislocations are uncommon yet clinically significant injuries that pose diagnostic and therapeutic challenges. This review synthesizes current knowledge regarding the mechanisms of injury, classification, treatment modalities, outcomes, and complications associated with volar MCP joint dislocations. Insights from 2 case studies, along with previously published case reports, literature reviews, and clinical experiences, are incorporated to provide a holistic understanding of these complex injuries. The review also highlights areas for future research to enhance clinical outcomes and optimize patient care.

Keywords: dislocation; hand; metacarpophalangeal joint; orthopedic surgery; volar metacarpophalangeal.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Preoperative left hand (a) posteroanterior radiograph, (b) lateral-oblique radiograph, and (c) lateral radiograph demonstrating closed volar dislocation of the left little finger at the metacarpophalangeal joint.
Figure 2.
Figure 2.
Six-week postoperative (a) posteroanterior and (b) lateral radiograph demonstrating a reduced metacarpophalangeal joint of the left little finger. Nano and corkscrew anchors placed intraoperatively are in the correct position.
Figure 3.
Figure 3.
Preoperative right hand (a) posteroanterior radiograph and (b) lateral radiograph demonstrating closed volar dislocation of the right index finger at the metacarpophalangeal joint at the time of initial injury.
Figure 4.
Figure 4.
Eight-month postoperative (a) posteroanterior, (b) lateral-oblique, and (c) lateral radiographs demonstrating notable volar subluxation of metacarpophalangeal joint of the right index finger with traumatic arthritis.

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