title: Double dislocation of finger interphalangeal joints.
abstract: A 62-year-old, right-hand-dominant man who had dementia and lived in an Elderly Mentally Infirm (EMI) nursing home was admitted through Accident & Emergency (A&E) department following unwitnessed injury to the left little finger. His examination revealed a swollen and deformed left little finger with a laceration along the middle crease on the volar aspect and head of proximal phalanx visible through this. Distally sensations and capillary refill was normal. X-rays showed a double dislocation of both proximal and distal interphalangeal joints. The finger was reduced under ring block and the laceration was washed with saline in A&E. The patient was taken to the operation theatre next morning for wound exploration and wash-out±stabilistion of the finger under general anaesthesia. The wound was thoroughly washed out and closed with 4/0 interrupted nylon. The finger was immobilised with neighbour strapping and bandaged in flexion.
authors.affiliation: Department of Orthopaedics and Trauma, Eastbourne District General Hospital, Eastbourne, UK. sajahangiri@hotmail.com
authors.forename: Saqib Aziz
authors.initials: SA
authors.lastname: Jahangiri
authors.forename: Prabhakar
authors.initials: P
authors.lastname: Mestha
authors.forename: Scarlett
authors.initials: S
authors.lastname: McNally
mesh_terms: D003704:Dementia / Q000150:complications; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005385:Fingers / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D011859:Radiography