Simultaneous dislocation of the both interphalangeal joints in the middle finger

Simultaneous dorsal dislocation of both interphalangeal joints in one finger is an uncommon injury. This injury usually occurs on the ulnar side of the hand involving ring and little fingers. We report a case of simultaneous dislocation of both interphalangeal joints in the middle finger with small avulsion fractures. Closed reduction and splinting in ‘intrinsic plus position’ provided a good result with full range of motion by 8 weeks after the initial injury.     

Simultaneous dislocation of the interphalangeal joints in a finger

Single dislocation of a joint in a finger is common, but simultaneous dislocation of both joints is a rare occurrence. Two further cases are reported with review of the literature.     

Simultaneous double interphalangeal dislocation in one finger

Isolated dislocation of the proximal or distal interphalangeal joint of a finger is common, but simultaneous dislocation of both joints is rare. Three cases of simultaneous dislocations of both interphalangeal joints in the same finger are reported. Closed reduction was easily achieved in all cases. Received: 11 August 1998     

Simultaneous dorsal dislocation of interphalangeal joints in a finger

Simultaneous proximal and distal interphalangeal joint dislocations in a single finger are rare. Even though the joints above and below are routinely evaluated, one of the joint dislocations can be missed. When phalangeal dislocations are suspected, special attention should be given to obtaining sufficient roentgenographic views both before and after reduction. The joints should be thoroughly examined in an attempt to distinguish capsular contraction from soft-tissue interposition. Failure to recognize initial simultaneous dislocations may result in capsular contraction and require surgical intervention.     

Simultaneous dislocation of both interphalangeal joints in a finger

Summary. Unlike dislocations of the distal or proximal interphalangeal joints, the simultaneous dislocation in a single finger of both seems to be a rare occurrence. Reduction and checking of the collateral ligament, extensor tendon, and volar plate, followed by 3 weeks of splinting in the intrinsic plus position seems to be the treatment of choice.     

Simultaneous double interphalangeal dislocation on a single finger

The authors report a rare case of the simultaneous double interphalangeal dislocation in the little finger of the left hand. A 35-year-old man, playing football as a goalkeeper, was injured when another player trod on his little finger. The dislocation was reduced by traction without anesthesia and the finger was immobilized on a splint. Although the patient removed the splint only a week later and failed to come for a check-up, at 1 year, his little finger showed no deformity and regained a full range of painless, active motion.     

Simultaneous double dislocation of the interphalangeal joint in a finger

Isolated traumatic dislocation of the distal and proximal interphalangeal joints of the fingers is a common occurrence. However, simultaneous dislocation of both interphalangeal joints in a single finger appears to be a rare event. We report five cases of simultaneous dislocation of both interphalangeal joints in a single finger with a review of the literature.     

Simultaneous dislocation of the interphalangeal joints of the index finger

A crush injury caused simultaneous posterior dislocation of the interphalangeal joints of the index without associated fracture. Orthopedic treatment was used because a stable reduction was achieved without difficulty. The hand was immobilized for three weeks followed by rehabilitation exercises. Complete functional recovery was achieved with pain-free joints. We recommend starting the reduction at the distal interphalangeal level in order to allow relaxation of the deep flexor tendons favoring reduction of the proximal interphalangeal joints.     

Simultaneous dorsal dislocation of the interphalangeal joints in a finger. Case report and review of the literature

A case report and review of the English literature on the simultaneous dorsal dislocation of the interphalangeal joints of the finger are presented. This injury usually occurs on the ulnar side of the hand of young male athletes. It is easily reduced by a closed technique, although slight limitation of motion and joint swelling may persist.     

Simultaneous dorsal dislocation of the interphalangeal joints in ring finger with proximal interphalangeal joint dislocation of the middle finger: case report and review of the literature.

A 30-year-old amateur goalkeeper sustained simultaneous dislocation of the proximal and distal interphalangeal joints of the ring finger and of the proximal interphalangeal joint of the middle finger following a hyperextension injury. This was reduced under a local anaesthetic. Neighbour finger strapping and early mobilisation achieved an excellent functional outcome when reviewed at eight weeks after the initial injury.     

Floating thumb with double dislocation of carpometacarpal and metacarpo-phalangeal joints

INTRODUCTION

Double dislocations of carpometacarpal and metacarpo-phanlageal joints are rare. We report an unusual case of simultaneous dislocation of both CMC and MCP joints in the thumb.

PRESENTATION OF CASE

A 31 year old male was admitted following a road traffic accident. He was complaining of pain and deformity of right thumb. The X-ray examination revealed simultaneous dislocation of both CMC and MCP joints. He underwent closed manipulative reduction and percutaneous K wire fixation. The wires were removed after six weeks. After a course of physiotherapy he regained full range of pain free movements.

DISCUSSION

The incidence of simultaneous dislocation of both CMC and MCP joints in thumb are associated with high energy injuries. The options of treatment are conservative with cast immobilisation and serial X-rays or operative including closed manipulative reduction and K wire fixation or open reduction and internal fixation.

CONCLUSION

The option of treating this rare injury with closed manipulative reduction and percutaneous K wiring gives excellent and predictable results.     

Simultaneous dislocation of the interphalangeal and metacarpophalangeal joints of the thumb

Simultaneous dislocation of the interphalangeal and metacarpophalangeal joints of the thumb is an extremely rare injury, the management of which is controversial. We advocate closed reduction followed by early mobilisation in order to achieve optimal functional results.     

Simultaneous dislocation of the metacarpophalangeal and interphalangeal joints of the thumb.

Combined dislocation of the metacarpophalangeal and interphalangeal joints of the thumb is uncommon. We know of only four previously reported cases. We report a new case characterised by dorsal dislocation of both joints. Because of entrapment of the volar plate, open reduction at the interphalangeal joint was necessary. The metacarpophalangeal dislocation was treated by closed reduction. After three weeks of immobilisation, physiotherapy resulted in a satisfactory outcome. Even if the diagnosis of dislocation of the interphalangeal joint is obvious it would be easy to overlook a simultaneous dislocation of the metacarpophalangeal joint with serious consequences. Whole hand examination remains an essential rule.     

Simultaneous dislocation of the interphalangeal joints. A report of 2 cases

Dislocations involving both proximal and distal interphalangeal joints in only one finger are rare. Two such cases are presented; the one was treated conservatively and the other surgically. Early reduction is mandatory for a good functional hand.     

Simultaneous dorsal dislocation of the metacarpophalangeal and carpometacarpal joints of a finger

A case of simultaneous dorsal dislocation of the metacarpophalangeal (MP) and carpometacarpal (CMC) joints in the little finger is presented. The patient required a second surgical intervention for volar subluxation of the MP joint which occurred while wearing a dorsal splint following open reduction of the MP joint and closed reduction of the CMC joint. Two years postoperatively, the patient was asymptomatic but was left with mild stiffness of the MP joint.     

不可闭合复位性的近侧指间关节脱位

目的 探讨不可闭合复位性的近侧指间关节脱位的创伤病理原因、治疗及预后。方法 对1991年5月至2002年10月期间,10例不可闭合复位性的近侧指间关节脱位的诊疗过程、随访结果进行回顾和分析。结果 术后随访4-32个月,近侧指间关节的平均主动活动范围:伸22°,屈71°。被动活动范围:伸18°,屈79°。2例分别于术后14、18个月发生创伤性关节炎;3例于随访时发现关节侧方不稳定;1例于术后6个月因指屈肌腱粘连行肌腱松解术。结论 严重的多向性或旋转性暴力损伤是不可闭合复位性的近侧指间关节脱位主要的致伤原因,它导致近侧指间关节周围的稳定结构复合损伤,其中1种或2种组织嵌入关节腔或羁绊指骨髁,造成闭合复位失败。虽然手术可以将脱位的近侧指间关节复位,但原始创伤严重、早期漏珍、术前反复暴力性闭合复位,手术复位不及时等因素仍可导致预后不良。