Abstract
Occurrence of bilateral dislocation of metacarpophalangeal joint of index finger are very uncommon. Most of the dislocation are complex in nature and require surgical open reduction. The need for surgical reduction is primarily due to entrapment of fibrocartilaginous volar plate between proximal phalanx and metacarpal head. The dislocation can be approached by either volar or dorsal approach. We advocates dorsal approach because of its definitive advantage over volar approach like reduced neurovascular injury and direct exposure of volar plate.
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