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
Orthopedicsjournal_title
Orthopedicsauthors
Patterson RW,Maschke SD,Evans PJ,Lawton JNdoi
10.3928/01477447-20081101-22subject
Has Abstractpub_date
2008-11-01 00:00:00pages
1099issue
11eissn
0147-7447issn
1938-2367pii
orthopedics.32908journal_volume
31pub_type
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