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Irreducible buttonhole-type metacarpophalangeal thumb dislocation: a case report
Dina Aprilya1, Oryza Satria1, Febry Prayugo2
1Department of Orthopaedic and Traumatology, Fatmawati General Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
International Journal of Surgery Case Reports
|March 16, 2026
Summary
Buttonhole dislocation of the thumb's Metacarpophalangeal (MCP) joint is rare and often irreducible. Surgical management via a dorsal approach successfully restored joint stability by releasing the interpositioned volar plate.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Metacarpophalangeal (MCP) joint thumb dislocations are uncommon.
- Buttonhole dislocations represent a rarer subtype, frequently irreducible by closed reduction due to soft tissue interposition.

