Abstract

Introduction: The rst Metacarpophalangeal (MCP) joint is among the most commonly injured joints in the hand, it is because of the signicant contribution of the thumb to overall hand function and its amenability to injury in work and sporting activities. In contrast to MCP dislocation of the thumb, dislocation of the other MCP joint is an uncommon. Kaplan dislocations following trauma are of rare occurrence. An uncomplicated MCP joint dislocation can be managed by closed reduction but complicated dislocation always needs open reduction for better outcome. Case Report: Here, we present a case of 26 year old male with 3 months old fracture dislocation of 2nd MCP joint Right hand, which was managed by open dorsal approach with proper reduction, k wire xation and good functional outcome. We expe Conclusion: rienced when dislocation is complete, with the head of the metacarpal displaced towards the volar side and the base of the phalanx towards the dorsal side, the dorsal approach of is found to be safe and simple with good visualization, negligible injury to Neurovascular structure and better xation

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