Complex metacarpophalangeal joint dislocations.
A series of four consecutive complex dorsal metacarpophalangeal dislocations were treated using a dorsal approach with division of only the proximal portion of the extensor hood fibers. This is a relatively easy, safe and efficient exposure permitting optimal exposure of the volar plate and osteochondral fractures with minimal risk to neurovascular structures. This approach also allows early mobilization and may decrease scarring, adhesions, and subluxation of the extensor tendon.
Department of Orthopaedic Surgery at Mt. Sinai Hospital.
M R
MR
McGinnis
S M
SM
Green
D000293:Adolescent; D000328:Adult; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008662:Metacarpophalangeal Joint / Q000293:injuries*; D008663:Metacarpus / Q000293:injuries*; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D013997:Time Factors