Revue de chirurgie orthopedique et reparatrice de l'appareil moteur · 1996
[Simultaneous dorsal luxation of metacarpophalangeal joints of the four long fingers. Apropos of a case].
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Guiral J, Irisarri C, Díaz-Otero J M
Аннотация
PURPOSE OF THE STUDY: The authors describe an unusual case of simultaneous dorsal dislocation of the metacarpophalangeal joints of the index, long, ring, and little fingers.
MATERIAL AND METHODS: A 67-year-old man fell on the pavement when walking, striking his outstretched left hand. A diagnosis of multiple fingers dislocation was easily clinically and radiologically established. The wound was cleaned and the dislocations reduced by closed manipulation at the operating room.
RESULT: The patient had an uneventful recovery, after a three week period of immobilization with a dorsal extension block splint.
DISCUSSION AND CONCLUSIONS: The use of art extension block splint allowed a minimal healing delay for disrupted volar metacarpophalangeal structures, allowing a good fingers range of motion.
MATERIAL AND METHODS: A 67-year-old man fell on the pavement when walking, striking his outstretched left hand. A diagnosis of multiple fingers dislocation was easily clinically and radiologically established. The wound was cleaned and the dislocations reduced by closed manipulation at the operating room.
RESULT: The patient had an uneventful recovery, after a three week period of immobilization with a dorsal extension block splint.
DISCUSSION AND CONCLUSIONS: The use of art extension block splint allowed a minimal healing delay for disrupted volar metacarpophalangeal structures, allowing a good fingers range of motion.