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Simultaneous closed dislocation of both interphalangeal joints in one finger
The Journal of Trauma
|January 1, 1983
Summary
A table-tennis player experienced a rare simultaneous dislocation of two finger joints. The injury occurred sequentially, with the first dislocation causing the second when the finger struck a wall. Treatment involved specific maneuvers and splinting with slight flexion.
Area of Science:
- Orthopedics
- Sports Medicine
- Traumatology
Background:
- Interphalangeal joint dislocations are common in sports.
- Simultaneous dislocations of multiple joints in a single digit are exceptionally rare.
Observation:
- A table-tennis player sustained a unique injury involving simultaneous dislocation of both interphalangeal joints in one finger.
- The second dislocation occurred as a consequence of the initial injury, with the first dislocated joint acting as a fulcrum.
- The mechanism involved the finger striking a wall during play.
Findings:
- A novel treatment approach was employed, beginning with hyperextension to disengage the phalanx base.
- Traction along the phalanx facilitated repositioning of the dislocated joint.
- The phalanx base was guided back into articulation with the proximal phalanx head.
Implications:
- This case highlights a rare injury pattern in athletes.
- The described treatment technique offers a potential solution for similar complex joint dislocations.
- Understanding such mechanisms is crucial for injury prevention and management in sports like table tennis.