Simultaneous Dorsal Dislocation of the Proximal and Distal Interphalangeal Joints in the Middle Finger: A Case Report

Sbai, Mohamed Ali and Rejeb, Haythem and Mchirgui, Mayssa El and Gharbi, Wafa and Mohamed Sadok, Chtai and Mohamed, Souissi and Slim, Jerbi and Khorbi, Adel and Maalla, Riadh (2017) Simultaneous Dorsal Dislocation of the Proximal and Distal Interphalangeal Joints in the Middle Finger: A Case Report. Shafa Orthopedic Journal, 4 (3). ISSN 2345-296X

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Official URL: http://doi.org/10.5812/soj.10450

Abstract

Introduction: Dorsal dislocation of a proximal or distal interphalangeal joint is a common clinical problem. However, simultaneous dislocation of both joints in the same digit is rare. Case Presentation: A 32-year-old male injured his left hand third finger while biking. Examination revealed a stepladder deformity. Neurovascular examination was normal. Radiographs revealed dorsal dislocation of both the proximal and distal interphalangeal joints. The finger was reduced easily by longitudinal manual traction under the digital block. The finger was splinted in the intrinsic plus position for 3 weeks accompanied with active range of motion. After 6 months, the patient returned to normal sporting activity without limitation of motion. Conclusions: In case of simultaneous dorsal dislocation of a proximal and distal interphalangeal joint, closed reduction is the treatment of choice and it could result in good and normal range of motion. Keywords: Proximal Interphalangeal Joint; Distal Interphalangeal Joint; Dislocation

Item Type: Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: Admin Repo IUMS
Date Deposited: 31 Oct 2017 08:10
Last Modified: 31 Oct 2017 08:10
URI: http://eprints.iums.ac.ir/id/eprint/4

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