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Journal of Bone and Joint Surgery, 1967;49:1587-1590.
© 1967 by The Journal of Bone and Joint Surgery, Inc

Metacarpophalangeal-Joint Dislocations of the Fingers

A COMPARISON OF THE PATHOLOGICAL ANATOMY OF INDEX AND LITTLE FINGER DISLOCATIONS

LOUIS W. BALDWIN M.D.1, DENNIS L. MILLER M.D.1, LEROY D. LOCKHART M.D.1, and E. BURKE EVANS M.D.1

1 From the Department of Surgery, Division of Orthopaedic Surgery, The University of Texas Medical Branch, Galveston

1. Four cases of metacarpophalangeal dislocations of the fingers are presented.

2. The trapping elements of the little-finger dislocation are described.

3. With the techique described, open reduction is easy and the reduction is stable and does not require transfixation of the joint.

4. Dislocations of the fifth metacarpophalangeal joint, which cannot be reduced by closed means, can be reduced by open means by a volar approach that avoids blind transection of the fibrocartilaginous plate.


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