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Closed reduction of multiple MCP joint dislocations.

Aravind Balachandran1, Sourabh Sinha2

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A young man

Keywords:
Joint interpositionOrthopaedics

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care

Background:

  • Multiple metacarpophalangeal (MCP) joint dislocations are uncommon injuries.
  • Simultaneous fractures of metacarpal bases and phalanges associated with MCP dislocations are rare.

Purpose of the Study:

  • To report a case of multiple closed metacarpophalangeal joint dislocations with associated fractures.
  • To highlight the successful management and outcome of closed reduction for this rare injury pattern.

Main Methods:

  • A case report of a young adult male sustaining a fall injury to the left hand.
  • Clinical examination and radiographic assessment to diagnose dislocations and fractures.
  • Management via closed reduction and splintage.

Main Results:

  • The patient presented with closed dislocations of the second, third, and fourth MCP joints.
  • Radiographic evaluation confirmed fractures of the bases of the third and fourth metacarpals and the proximal phalanx of the middle finger.
  • The injury was successfully treated with closed reduction and splintage, resulting in an uneventful outcome.

Conclusions:

  • Multiple MCP joint dislocations, especially with associated fractures, represent a rare traumatic event.
  • Closed reduction can be an effective treatment method for such complex hand injuries, leading to favorable outcomes.