Complex multiple Metacarpo phalangeal joint dislocation. Is closed reduction, a good treatment option?

Author(s): Dr. Kalaivanan Kanniyan, Dr. Karthi Sundar Vellaiputhiyavan and Dr. Aditya C Pathak

Abstract: Introduction: Multiple Metacarpophalangeal (MCP) joint dislocations are relatively rare in comparison with the single Metacarpophalangeal joint dislocation in either plane with limited literature evidence. Case Report: Hereby, we present a case of 40 year old male who presented with Kaplan’s dimple sign and “double Z deformity” of his left hand following a fall onto his out stretched hand. Radiological investigation revealed Multiple MCP joint dislocations involving his left index and middle finger. The 2^nd MCPJ dislocation was simple closed one while the 3^rd MCPJ dislocation was compound open type. The complex multiple MCPJ dislocation was treated successfully with closed reduction under wrist block. The patient is in regular follow-up with no recurrence and good hand function at the end of one year. Conclusion: Complex multiple MCP joint dislocation can be treated successfully with closed reduction using proper reduction technique.

DOI: https://doi.org/10.22271/ortho.2018.v4.i4d.37