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Double Dislocation of Interphalangeal Joints Accompanied with Contralateral Shoulder Dislocation: A Case Report
Pradyumna Ramchandra Raval1, Arpit Jariwala2
1Department of Orthopaedic and Trauma Surgery, Tayside Orthopaedic Rehabilitation Technology (TORT) Centre, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.
Orthopaedic Surgery
|March 31, 2016
Summary
This study reports a rare case of double finger joint dislocation and a contralateral shoulder dislocation in an elderly man. Successful treatment involved closed reduction and early mobilization, highlighting a rare orthopedic emergency.
Area of Science:
- Orthopaedic Surgery
- Emergency Medicine
- Sports Medicine
Background:
- Joint dislocations are orthopedic emergencies requiring prompt medical attention to prevent complications.
- Anterior shoulder dislocation is common, but dislocations of other joints, including double dislocations, can occur.
- Double dislocations involve two joints dislocating simultaneously, a rare occurrence.
Observation:
- A rare case of double dislocation of the proximal and distal interphalangeal joints in the same finger, coupled with a contralateral shoulder dislocation, was observed.
- This injury occurred in an elderly male following a fall.
- High-impact fingertip loading, often seen in contact sports among younger individuals, is the typical cause of double interphalangeal joint dislocations.
Findings:
- The case presented a unique combination of injuries: double interphalangeal joint dislocation and contralateral shoulder dislocation.
- Closed reduction was the chosen treatment method.
- Successful outcomes were achieved with closed reduction and early mobilization.
Implications:
- This case underscores the importance of considering multiple dislocations in trauma patients, even in unusual combinations.
- Prompt diagnosis and management, including closed reduction and early mobilization, are crucial for favorable outcomes in such rare injuries.
- Understanding the potential impediments to closed reduction, such as tendon interposition and fractures, is vital for successful treatment planning.
