High-energy traumatic proximal and distal interphalangeal joint dislocation in the same finger

Carpal tunnel syndrome secondary to a giant lipoma of the wrist and distal forearm

“…If it measures more than 5.0 cm, it can be considered a giant lipomatous lesion 2. Lipoma of distal extremities like the hand and foot is mostly asymptomatic; in 25% of cases, it may cause a compression effect, which gives a clinical picture of carpal tunnel syndrome 1. In this case report, a lipoma was present in the distal forearm and wrist (figure 6).…”

“…The length of time and intensity of compression in carpal tunnel syndrome are responsible for neural damage. Giant lipomas have the potential to metastasise; hence, they are always regarded as malignant until proven otherwise 1. It is crucial to distinguish between a benign and a malignant lipoma because the latter may require a more radical treatment.…”

“…Carpal tunnel syndrome is rarely caused by giant distal forearm and hand lipomas 1. An MRI scan before surgery should be done.…”

Double Interphalangeal Joint Dislocation of the Finger in Adolescent Athletes: A Review of Two Cases and the Relevant Literature

“…As recommended by the majority of the authors, the appropriate treatment after a successful reduction without accompanied avulsion fractures and joint instability is to immobilize the finger in an intrinsic plus position with a splint [ 2 , 3 , 10 , 12 ] or to immobilize the injured finger with the correct adjacent finger for support (e.g., little finger with ring finger, middle finger with index finger) and mobilization as tolerated [ 1 , 7 , 11 , 13 ]. Most authors agree that a period of immobilization between 2 and 3 weeks is sufficient and beneficial, in order to protect the healing process and parallel prevent joint stiffness [ 1 , 2 , 10 , 12 ]. As a result, early mobilization is recommended, since it helps to minimize immobility-associated complications, and it is also important for a good functional outcome.…”

“…Single interphalangeal joint dislocations are common upper extremity dislocations. However, double dislocation of the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints of the fingers seems to be rare [ 1 ]. This type of injury was first reported by Bartels in 1874 [ 2 ].…”