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Simultaneous interphalangeal dislocation in one finger
The Journal of Trauma
|January 1, 1983
Summary
Simultaneous dislocation of both interphalangeal joints in a single finger is rare. This case in a volleyball player highlights hyperextension as the likely injury mechanism, with successful reduction and full motion recovery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Finger joint injuries are common in athletes.
- Simultaneous dislocations of multiple interphalangeal joints are exceptionally rare.
- Volleyball players are susceptible to finger injuries due to ball impact and catching dynamics.
Observation:
- A case report details a volleyball player experiencing simultaneous dorsal dislocation of both the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints in a single finger.
- The injury occurred during a volleyball game.
- The mechanism of injury was attributed to a significant hyperextension force.
Findings:
- Successful reduction of both dislocations was achieved using longitudinal traction.
- Full range of motion was regained after appropriate immobilization.
- The hyperextension force likely caused initial DIP joint dislocation, with residual force leading to subsequent PIP joint dislocation.
Implications:
- This case expands the understanding of rare finger joint injuries in sports.
- It underscores the importance of recognizing complex injury patterns beyond single joint dislocations.
- Proper and timely management, including traction and immobilization, is crucial for optimal outcomes in such injuries.