Abstract
IntroductionThere is no case of simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of a finger in the literature.Case presentationA 61 years old male patient sustained an ipsilateral dorsal dislocation of the PIP joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint. Closed reduction of proximal interphalangeal joint was achieved while open reduction of the metacarpophalangeal joint was carried out.ConclusionThe single most important element preventing reduction of the metacarpophalangeal joint was an interposition of the volar plate between proximal end of the phalanx and the head of the metacarpal.
Highlights
There is no case of simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of a finger in the literature.Case presentation: A 61 years old male patient sustained an ipsilateral dorsal dislocation of the Proximal interphalangeal (PIP) joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint
In this report we aimed to investigate and discuss an extremely rare injury that is bipolar dislocation of the fifth proximal phalanx due to a fall on hand
A 61 years old male patient fell from a height and sustained an ipsilateral dorsal dislocation of the PIP joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint
Summary
Case presentation: A 61 years old male patient sustained an ipsilateral dorsal dislocation of the PIP joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint. Closed reduction of proximal interphalangeal joint was achieved while open reduction of the metacarpophalangeal joint was carried out. Simultaneous dislocation of metacarpophalangeal and carpometacarpal joints of the same digit had been previously reported, we did not find any case of simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of a finger in the English speaking literature. A 61 years old male patient fell from a height and sustained an ipsilateral dorsal dislocation of the PIP joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint. Closed reduction of the fifth finger was achieved but metacarpophalangeal joint remained dislocated so open reduction was carried out. An incision in the proximal palmar crease is extended along the mid ulnar aspect of the little finger
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