Dorsal approach for open reduction of complex metacarpophalangeal joint dislocations.

Abstract:

:The metacarpophalangeal (MP) joint is resistant to injury due to its strong capsuloligamentous structures, which include the volar plate and deep transverse metacarpal and collateral ligaments. Complex MP joint dislocations are, by definition, irreducible by closed means and require open reduction, as the volar plate becomes entrapped between the metacarpal head and proximal phalanx. The dorsal approach may offer the following advantages: 1) reduced risk to palmarly displaced neurovascular structures, 2) facilitated management of osteochondral fractures, and 3) full exposure of the volar plate. However, the dorsal approach requires splitting of the volar plate for adequate reduction, which may delay recovery.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Patterson RW,Maschke SD,Evans PJ,Lawton JN

doi

10.3928/01477447-20081101-22

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1099

issue

11

eissn

0147-7447

issn

1938-2367

pii

orthopedics.32908

journal_volume

31

pub_type

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