Abstract

The chronic post-traumatic anterior instability of the metacarpophalangeal joint of the thumb is a rare medical condition that impairs the pollici - digital clamp as well as the dextrous function of the thumb. Multiple treatment options could be employed. The authors present the case of a young patient who suffers a chronic anterior instability of the metacarpophalangeal (MCP) joint of the thumb, due to an acute hyperextended trauma. The injury didn’t get adequat treatment. However, a free tendon graft has achieved a good functional outcome.

Highlights

  • The chronic post-traumatic anterior instability of the metacarpophalangeal joint of the thumb is a rare medical condition that impairs the pollici - digital clamp as well as the dextrous function of the thumb

  • The authors present the case of a young patient who suffers a chronic anterior instability of the metacarpophalangeal (MCP) joint of the thumb, due to an acute hyperextended trauma

  • Treatment consisted of the reconstruction of the volar plate using a graft taken from the tendon of flexor carpi radialis

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Summary

Introduction

The chronic post-traumatic anterior instability of the metacarpophalangeal joint of the thumb is a rare medical condition that impairs the pollici - digital clamp as well as the dextrous function of the thumb. The authors present the case of a young patient who suffers a chronic anterior instability of the metacarpophalangeal (MCP) joint of the thumb, due to an acute hyperextended trauma. The capsulo-ligamentous trauma of the metacarpophalangeal joint of the thumb is common, which need to be diagnosed and treated in time, or run into chronic laxity.

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