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 102
- Downloads 0
Caudal epidural steroids in management of lumbar radiculopathy
Introduction: Practice of epidural steroid injections have been used in the past in for lumbar radiculopathy. We observed and analysed outcomes of caudal epidural steroid injections in the management of lumbar radiculopa...
Evaluation of the clinico-radiological outcome of lumbar interbody fusion using cage and local bone graft in management of lumbar spondylolisthesis
Background: Pain in the lower lumbar spine is a socioeconomically serious medical illness. The main reason from physiological perspective was micro and macro instability of spine. Posterior lumbar interbody fusion (PLIF)...
Pattern of injuries in road traffic accident in northern Indian population
Road Traffic Accident (RTA) is a current global development epidemic. The World Health Organization (WHO 2010: 5) estimates that road traffic crashes cause over 1.24 million deaths and about 50 million people are injured...
Prospective study of middle 1/3rd clavicle fracture managed with clavicle contoured plates
Aim Clavicle being most common bone to get fractured, accounting for about 5-10% of all injuries, with middle 3rd being the commonly fractured site. As it is common in young active adults and the incidence being increase...
Management of medial patellofemoral ligament injury: A case report
The medial patellofemoral ligament (MPFL) is the primary stabilizer of the patellofemoral joint; its reconstruction has been recommended in adults over the past decade after recurrent patellar instability. However, there...