title: Isolated dorsal approach for the treatment of neglected volar metacarpophalangeal joint dislocations.
abstract: Here, we present the clinical and radiological results of three neglected volar metacarpophalangeal dislocations in 2 patients, which were treated with open reductions 10 and 24 mo after the dislocations. There was a mean of a 20° (range 10°-30°) limitation of extension and a 53.3° (range 30°-70°) limitation of flexion preoperatively. Postoperatively, there was no limitation of extension (at 8 and 12 mo) in any of the fingers. In terms of flexion, one finger had full function, one had a 10° and the last one had a 30° limitation of flexion. Two of the fingers presented anesthesia preoperatively, which improved to hypesthesia postoperatively. One finger had hypesthesia, which improved postoperatively. During surgery, a ruptured dorsal capsule was found to have interposed into the joint, making closed reduction impossible. Our experience with these two patients demonstrated that, even in neglected cases, open reduction using an isolated dorsal approach may result in satisfactory clinical and radiological outcomes.
authors.affiliation: Hakan Başar, Mustafa Erkan İnanmaz, Kamil Çağrı Köse, Department of Orthopaedic and Traumatology, Sakarya Training and Research Hospital, 54100 Sakarya, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Başar
authors.affiliation: Hakan Başar, Mustafa Erkan İnanmaz, Kamil Çağrı Köse, Department of Orthopaedic and Traumatology, Sakarya Training and Research Hospital, 54100 Sakarya, Turkey.
authors.forename: Mustafa Erkan
authors.initials: ME
authors.lastname: Inanmaz
authors.affiliation: Hakan Başar, Mustafa Erkan İnanmaz, Kamil Çağrı Köse, Department of Orthopaedic and Traumatology, Sakarya Training and Research Hospital, 54100 Sakarya, Turkey.
authors.forename: Kamil Çağrı
authors.initials: KÇ
authors.lastname: Köse
authors.affiliation: Hakan Başar, Mustafa Erkan İnanmaz, Kamil Çağrı Köse, Department of Orthopaedic and Traumatology, Sakarya Training and Research Hospital, 54100 Sakarya, Turkey.
authors.forename: Cihangir
authors.initials: C
authors.lastname: Tetik
keywords: Dorsal surgical approach; Metacarpophalangeal dislocation; Metacarpophalangeal dislocation rehabilitation; Neglected dislocation; Surgical treatment