The volar surgical approach in complex dorsal metacarpophalangeal dislocations

Durakbasa, Oguz; Guneri, Bulent

doi:10.1016/j.injury.2008.10.027

Cited by 22 publications

(26 citation statements)

References 11 publications

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“…They used the volar approach because this could show anatomic structures more accurately (3,4,11), whereas Izadpanah and Wanzel (5) and Patterson et al (7) agreed on a dorsal approach. This approach has first been described by Farabeuf, in 1876 (7), which showed the disadvantages of volar approach, such as digital nerve injury.…”

Section: Discussionmentioning

confidence: 99%

“…When the joint is stable, the use of an extension block splint will be enough. A minimum time of immobilization (2 or 3 weeks) is advisable and active motion should be started after splint removal, for prevention of joint stiffness (4,5,7).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, these dislocations are rare, especially the simultaneous complex dislocations of four MCP joints (1,2). It has been first described by McCarthy, in 1980, and classified, based on direction of translation, as volar or dorsal and, also, incomplete, simple complete and complex complete dislocation (3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

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Simultaneous Complex Open Dorsal Dislocation of Four Metacarpophalangeal Joints

et al. 2015

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Introduction: Metacarpophalangeal (MCP) joints dislocations are rare, especially the simultaneous complex dislocations of four MCP joints. Although there are over 100 reported cases of MCP joint dislocation, the vast majority involves the index finger and is extremely rare in the long or ring fingers. Up to present, only three cases of simultaneous complex dorsal dislocation of four joints were described in the literature. Case Presentation: We present a rare case of complex dorsal dislocation of four MCP joints. Physical examination and radiographic evaluation revealed open dorsal MCP joint dislocation of index, middle, ring and little fingers. Any attempt of closed reduction was unsuccessful, before surgery. The patient in the case underwent open reduction and, after surgery, the injured hand was placed in a short extension block splint and controlled active motion, while in splint, was encouraged, immediately. This approach resulted in an uneventful recovery. Conclusions: We described the complex dorsal MCP joint dislocation of four joints, which is defined as irreducible and complete dislocation, most often because of volar plate interposition. Although the dorsal and volar approaches are common methods of treatment, in complex MCP joint dislocations, however, to our knowledge, the dorsal approach has better advantages, compared with the volar type.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Simultaneous Complex Open Dorsal Dislocation of Four Metacarpophalangeal Joints

et al. 2015

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“…her zaman volar yaklaşım ile redüksiyon sağlanamayabilir. [19,20] Bu gibi durumlarda ek dorsal yaklaşım ihtiyacı oluşur, ki bu da MP eklem sertliğine neden olabilir. Bazı yazarlar, dorsal yaklaşımın daha kolay redüksiyon ve daha iyi eklem hareketi sağladığını bildirmektedirler.…”

Section: (A) (B)unclassified

El ve el bileğinin travmatik çıkıkları

Ozaksar¹,

Hancıoğlu²

2019

TOTBID

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eklem hiperekstansiyonda iken çarpması ile oluşan aksiyel yüklenme sonrasında volar plakanın yırtılması ve eklemin dorsale yer değiştirmesi ile olur (Şekil 1). [1] Çıkık genellikle dorsale olmakla birlikte volare (Şekil 2) ve laterale de olabilir. Ezici ve döndürücü kuvvetler ile daha çok volare çıkıklar görülür. [2] DİP eklem çıkıklarının muayenesinde yandaş yumuşak doku yaralanmalarının, duyunun, kapiler dolumun, aktif-pasif hareketin, terminal ekstansör tendonun, fleksör dijitorum profundusun ve eşlik eden kırıkların değerlendirilmesi önemlidir. Direkt grafi ön-arka ve yan olarak çekilmeli, eşlik eden kırık varlığı ve diğer DİSTAL İNTERFALANGEAL EKLEM ÇIKIKLARIDistal interfalangeal eklem (DİP) bikondiler bir eklem olup her iki tarafında ana ve yandaş kollateral bağlar ile volarde volar plak ile eklemin stabilizasyonu sağlanır. Kollateral bağlar eklemin statik stabilitesini sağlarken, ekstansiyon ve fleksiyon yönlerindeki kuvveti dengeleyen terminal ekstansör tendon ile uzun fleksör tendonlar dinamik stabiliteyi sağlar. DİP çıkıkları genellikle eklem çevresi kırıkları ile ya da tendon kopmaları ile birlikte görülür. Kapalı izole DİP eklem çıkıkları oldukça nadirdir. En sık yaralanma mekanizması topla yapılan sporlarda topun parmak ucuna DİP

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“…Volar approach involves higher risk of neurovascular injuries as compared to dorsal approach but having advantage of easy visualization and repair of volar plate. 13 Dorsal approach have several advantages over volar approach such as lower risk of neurovascular injury, better visualization of a dorsally entrapped volar plate and, better management of associated osteochondral fractures. 3,14,15 Minimally invasive techniques ie., arthroscopic/ percutaneous methods have been reported in literature for MCP joint injuries.…”

Section: Isolatedmentioning

confidence: 99%

Delayed presentation of complex complete dorsal thumb metacarpophalangeal joint dislocation: a difficult case to manage and review of literature

Pandey¹,

Pawar²

2017

Int Surg J

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Metacarpo-phalangeal (MCP) joint dislocation is a rare occurrence which commonly involves index and little finger. Thumb MCP joint dislocation is a pretty rare pathology. MCP joint dislocations are classified into dorsal or volar types. They are further categorized as incomplete, simple complete and complex complete. Complex complete MCP joint dislocation requires surgical reduction most of the times because of tissue entrapment in joint. In the present case report, a case of two and a half months old complex complete thumb MCP joint dislocation left in 18-year old male encountered which was irreducible by closed means and required surgical intervention. Dorsal hand surgical approach was utilized for reduction of dislocation. This unusual, difficult and rare case of two and a half months old complex complete dorsal dislocation of the thumb MCP joint is presented in this case report.

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The volar surgical approach in complex dorsal metacarpophalangeal dislocations

Cited by 22 publications

References 11 publications

Simultaneous Complex Open Dorsal Dislocation of Four Metacarpophalangeal Joints

Simultaneous Complex Open Dorsal Dislocation of Four Metacarpophalangeal Joints

El ve el bileğinin travmatik çıkıkları

Delayed presentation of complex complete dorsal thumb metacarpophalangeal joint dislocation: a difficult case to manage and review of literature

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