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Simultaneous dislocation of both interphalangeal joints in a finger
J J Hage1, J F Reinders, L Schuwirth
1Department of General Surgery, De Wever Hospital, Heerlen, The Netherlands.
Archives of Orthopaedic and Trauma Surgery
|January 1, 1990
Summary
Simultaneous dislocation of both the distal and proximal interphalangeal joints in a single finger is rare. Treatment involves reduction, ligament/tendon/plate assessment, and 3 weeks of splinting in the intrinsic plus position.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Distal interphalangeal (DIP) and proximal interphalangeal (PIP) joint dislocations are common hand injuries.
- Simultaneous dislocation of both DIP and PIP joints in a single finger is exceptionally rare.
Observation:
- This case report details a rare instance of simultaneous dislocation of the distal and proximal interphalangeal joints in one finger.
- The injury required careful assessment of associated soft tissue structures.
Findings:
- Successful reduction of the simultaneous DIP and PIP joint dislocation was achieved.
- Assessment confirmed the integrity of the collateral ligament, extensor tendon, and volar plate.
- The recommended treatment involved 3 weeks of splinting in the intrinsic plus position.
Implications:
- This case highlights a rare but significant injury pattern in finger trauma.
- Standard treatment protocols for isolated DIP or PIP dislocations may not suffice.
- Emphasizes the importance of thorough examination and appropriate splinting for complex finger joint injuries.