Dislocation of the distal interphalangeal and the metacarpophalangeal joints in the same finger: A case report

Andersen, Morten Blomgren; Andersen-Ranberg, F

doi:10.1016/s0363-5023(05)80269-2

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Additionally, several cases of double dislocations have been reported in the thumb [4,5,[7][8][9]. The first case of a double dislocation whereby the PIP joint was bypassed was reported by Anderson in 1995 [2]. Our case differed from theirs in that the dislocations occurred in different directions versus the same direction in Anderson's.…”

Section: Discussionmentioning

confidence: 70%

“…The unique nature of this injury—digital dislocations in non-consecutive joints and in opposite directions—can be difficult to analyze from a mechanistic standpoint. It has been shown that some combination of an axial and hyperextension load applied to a digit, specifically at the distal phalanx, can cause a dorsal dislocation at the distal joint [1,2,6].…”

Section: Discussionmentioning

confidence: 99%

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Dorsal Dislocation of the Distal Interphalangeal Joint and Volar Dislocation of the Metacarpophalangeal Joint in the Same Finger: A Case Report

Panchal

Bamberger

2009

Hand (New York, N,Y.)

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Double dislocations of the finger interphalangeal and/or metacarpophalangeal joints are a rare entity. Sixtyfour cases of distal and proximal interphalangeal joint double dislocations have been previously reported. Five cases of metacarpophalangeal and interphalangeal double dislocations of the thumb have also been reported. Only one case has been reported in the English literature regarding simultaneous dislocations of the distal interphalangeal and metacarpophalangeal joints in the nonthumb digit. The directions of the dislocation were the same; both were dorsal. We report, to our knowledge, the first ever case of a double dislocation a non-thumb digit in opposing directions-volar at the metacarpophalangeal joint and dorsal at the distal interphalangeal joint.Keywords Digit . Dislocation . Distal interphalangeal . Metacarpophalangeal Case ReportA 45-year-old man, right-hand dominant, sustained an injury to the long finger of his non-dominant hand after losing control of his bicycle and falling over his handles. He was seen in the emergency room at a local hospital, where X-rays obtained showed a dorsal dislocation of the distal interphalangeal (DIP) joint and a volar dislocation of the metacarpophalangeal (MCP) joint of the left long finger (Fig. 1a-c). Neurovascular examination of the digit was normal.A closed reduction of the double dislocation was performed in the emergency department utilizing a digital block. Post-reduction X-rays obtained in the emergency room showed restoration of articular congruity at both joints (Fig. 2a, b). Neurovascular exam after reduction was also normal. The patient was placed into a combined volar and dorsal splint with the digit in intrinsic plus.The splint was removed at 2 weeks, and gentle hand therapy was started. Interval examination was performed at 4 weeks, followed by a final follow-up at 12 weeks. At the final follow-up, the patient exhibited painless active range of motion of the MCP, PIP, and DIP joints of 0-90°, 0-95°, and 0-85°, respectively (Fig. 3a-d). Coronal plane testing of the MCP, PIP, and DIP joints in full extension and flexion showed no instability. Grip strength at the 12-week follow-up was 48 kg in the injured hand and 56 kg in the contralateral dominant hand (Jamar Dynamometer, Smith & Nephew). He complained of no feelings of instability at the affected joints and reported no loss of function. DiscussionThe first case of a double dislocation of a digit was reported in 1874 by Bartels [3]. Since then, numerous cases of distal

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Dorsal Dislocation of the Distal Interphalangeal Joint and Volar Dislocation of the Metacarpophalangeal Joint in the Same Finger: A Case Report

Panchal

Bamberger

2009

Hand (New York, N,Y.)

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“…5 In one case of double dislocation, this occurs in the DIP and the MCP. 6 In the case of the thumb, only five cases have been reported in the English literature. 6 There are only two cases reported of a triple dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…6 In the case of the thumb, only five cases have been reported in the English literature. 6 There are only two cases reported of a triple dislocation. 3,4 Usually, they are dorsal dislocations affecting most frequently the 4 th and 5 th finger of the right hand.…”

Section: Discussionmentioning

confidence: 99%

Triple Open Dislocation in the Index Finger of the Hand Without a High-Energy Trauma

Utrillas

Armiño

Rodrigo

2020

Revista Chilena de Ortopedia y Traumatología

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A simultaneous double dislocation (both proximal [PIP] and distal [DIP] interphalangeal joints) of a triphalangeal finger is a rare entity. The most common hand affected is the right hand. In the case of a closed triple dislocation (metacarpophalangeal [MCP], PIP and DIP joints); there are only two cases in the literature revised. In this case, we report an open triple dislocation in the index finger of the left-hand of a 54-year-old man treated by closed reduction and 3 weeks of immobilization followed by active mobilization with satisfactory results. Level of evidence 3

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Dislocations and Ligament Injuries in the Digits

Merrell¹,

Slade²

2011

Green's Operative Hand Surgery

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Dislocation of the distal interphalangeal and the metacarpophalangeal joints in the same finger: A case report

Cited by 4 publications

References 3 publications

Dorsal Dislocation of the Distal Interphalangeal Joint and Volar Dislocation of the Metacarpophalangeal Joint in the Same Finger: A Case Report

Dorsal Dislocation of the Distal Interphalangeal Joint and Volar Dislocation of the Metacarpophalangeal Joint in the Same Finger: A Case Report

Triple Open Dislocation in the Index Finger of the Hand Without a High-Energy Trauma

Dislocations and Ligament Injuries in the Digits

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