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Metacarpophalangeal joint dislocation: indications for open surgical reduction
B M Stiles1, D B Drake, A J Gear
1Department of Plastic Surgery, University of Virginia Medical Center, Charlottesville 22908, USA.
The Journal of Emergency Medicine
|November 5, 1997
Summary
Complex metacarpophalangeal joint dislocations require open surgical reduction to reposition the volar plate and entrapped metacarpal head. This case study highlights successful open reduction for a left little finger dislocation.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Trauma Surgery
Background:
- Complex metacarpophalangeal (MCP) joint dislocations involve volar plate avulsion and metacarpal head entrapment.
- These injuries necessitate surgical intervention for accurate reduction and realignment.
Observation:
- A 58-year-old male presented with a complex MCP joint dislocation of the left little finger.
- The dislocation involved entrapment of the metacarpal head within surrounding soft tissues.
Findings:
- Open surgical reduction was performed in the operating room.
- The procedure successfully reduced the MCP joint dislocation and realigned the volar plate.
Implications:
- Open reduction is indicated for complex MCP joint dislocations.
- This approach ensures proper anatomical restoration and functional recovery of the affected digit.