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Complex dislocation of the second metacarpophalangeal joint. Case report
Krzysztof Piątkowski1, Marcin Wojtkowski1, Piotr Piekarczyk1
1Department of Traumatology and Orthopaedics, Military Institute of Medicine, Warsaw, Poland.
Ortopedia, Traumatologia, Rehabilitacja
|July 22, 2014
Summary
Operative treatment for rare second metacarpophalangeal joint dislocations is often necessary. A volar approach with K-wire stabilization effectively treated a complex case, preserving joint stability and motion.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Second metacarpophalangeal (MCP) joint dislocations are uncommon injuries.
- Despite often presenting with minimal symptoms, these injuries typically necessitate surgical intervention.
Observation:
- A case of complex second MCP joint dislocation was managed surgically.
- The surgical technique utilized a volar approach, providing excellent visualization.
- This approach facilitated direct repair of the volar plate.
Findings:
- The volar approach allowed for effective visualization and repair of the volar plate.
- K-wire stabilization for three weeks proved sufficient to prevent joint instability.
- Post-operative range of motion was not compromised by the stabilization method.
Implications:
- The volar approach is a viable and effective surgical option for complex second MCP joint dislocations.
- Short-term K-wire stabilization can successfully manage joint instability after volar plate repair.
- This approach offers a method to restore function and stability in rare metacarpophalangeal joint injuries.
