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[Simultaneous double interphalangeal dislocation on a single finger].

L Tomcovcík1, J Kubasovský, M Kitka

  • 1Klinika úrazovej chirurgie FN L. Pasteura a LF UPJS, Kosice. tomcovcik@email.cz

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|December 13, 2003
PubMed
Summary
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This case report details a rare simultaneous double interphalangeal dislocation in a little finger. Prompt reduction and immobilization led to a full, painless recovery within a year.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Traumatology

Background:

  • Simultaneous double interphalangeal dislocations of the little finger are exceptionally rare injuries.
  • Hand injuries are common in sports, requiring prompt and accurate diagnosis and management.

Observation:

  • A 35-year-old male goalkeeper sustained a simultaneous double interphalangeal dislocation of the left little finger while playing football.
  • The injury occurred when another player stepped on his finger.

Findings:

  • The dislocation was successfully reduced using manual traction without anesthesia.
  • The finger was immobilized with a splint, and despite early removal of the splint and missed follow-up, the patient achieved a full, painless range of active motion at one year post-injury.
  • No finger deformity was noted at the one-year follow-up.

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Implications:

  • This case highlights the potential for excellent functional recovery even with non-standard adherence to post-reduction protocols for rare finger dislocations.
  • It underscores the importance of timely reduction in managing interphalangeal joint dislocations.
  • The case contributes to the limited literature on simultaneous double interphalangeal dislocations, offering insights into management and outcomes.