Dislocation of both interphalangeal joints of one finger

Ikpeme, J.O.

doi:10.1016/0020-1383(77)90057-2

Cited by 31 publications

(13 citation statements)

References 6 publications

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“…The mechanism of injury causing MCPJ and CMCJ dislocation is thought to be a force that acts in a longitudinal and slightly dorsal direction along the axis of a fully extended digit. 4 Such a force produces a dorsal dislocation in the distal joint, followed rapidly by dislocation of the more proximal joint as the force continues to act in the same plane. Though a dorsal dislocation is commonest, rarely a palmar dislocation of the MCP joint can occur.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous dislocations of the carpometacarpal and metacarpophalangeal joints of the thumb

2004

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Section: Discussionmentioning

confidence: 99%

Simultaneous dislocations of the carpometacarpal and metacarpophalangeal joints of the thumb

2004

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“…The initial impact at the tip of the digit results in a forceful hyperextension at the distal interphalangeal joint (DIP), resulting in the rupture of the volar capsule and dislocation of the DIP joint. Subsequently this force travels proximally and the proximal interphalangeal joint (PIP) is affected, resulting in a dislocation . Thus these dislocations occur in quick succession, rather than occurring simultaneously.…”

Section: Discussionmentioning

confidence: 99%

Double Dislocation of Interphalangeal Joints Accompanied with Contralateral Shoulder Dislocation: A Case Report

Raval

Jariwala

2016

Orthopaedic Surgery

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Dislocation of any joint is an orthopaedic emergency and needs immediate attention by the attending physician. A delay in reducing a dislocated joint can lead to disastrous complications both immediately as well as in the long run. Although anterior dislocation of a shoulder joint is by far the commonest dislocation encountered by any emergency care physician, other joints may also get dislocated. In certain cases two joints may get dislocated simultaneously. Such dislocation is known as a double dislocation. Double dislocation of the proximal interphalangeal joint and the distal interphalangeal joint in the same finger is a rare injury. High impact loading at the fingertip is the primary cause in most cases and it is often associated with younger individuals playing contact sports. The right little finger is the digit commonly involved and this injury is evident in football players more often than not. Although closed reduction is a preferred treatment, it may not be always successful. Time of presentation, tendon interposition, associated swelling and co-existent phalangeal fractures are certain key impediments to a successful closed reduction manoeuvre. In patients with an open injury, a thorough wash out and appropriate antibiotic cover is mandatory. We report a rare case of double dislocation of the interphalangeal joints accompanied with contralateral shoulder dislocation in an elderly man sustained after a fall which was treated successfully with closed reduction and early mobilization.

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“…However, the patient in our case report presented following a simple fall at work. The mechanism of injury relates to a hyperextension with an element of rotatory force, first on the distal phalanx, causing a dorsal dislocation of the DIPJ, and then on the middle phalanx causing dislocation of the PIPJ 3 4. Bone avulsion and volar plate injuries have been reported 5 6.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous dislocation of both the proximal and distal interphalangeal joints of a little finger

Abdelaal¹,

Edwards²,

Anand³

2016

BMJ Case Reports

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A 39-year-old man fell at work sustaining dislocation of both the proximal and distal interphalangeal joints of his left little finger. The injuries were assessed and treated with closed reduction and stabilised by buddy taping. Early active range of movement was encouraged and a referral to physiotherapy was made. At the final follow-up, 4 months after the injury, he lacked subtle end of range movement actively, but functionally he was coping well and had made a full return to work.

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Dislocation of both interphalangeal joints of one finger

Cited by 31 publications

References 6 publications

Simultaneous dislocations of the carpometacarpal and metacarpophalangeal joints of the thumb

Simultaneous dislocations of the carpometacarpal and metacarpophalangeal joints of the thumb

Double Dislocation of Interphalangeal Joints Accompanied with Contralateral Shoulder Dislocation: A Case Report

Simultaneous dislocation of both the proximal and distal interphalangeal joints of a little finger

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