Irreducible palmar metacarpophalangeal joint dislocation due to junctura tendinum interposition: A case report and review of the literature
| Autor: | Lynn Bassini, Mukund R. Patel |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Joint Dislocations Metacarpophalangeal Joint Tendons Tendon Injuries medicine Humans Orthopedics and Sports Medicine Reduction (orthopedic surgery) Aged Rupture Subluxation business.industry Accidents Traffic Metacarpophalangeal joint Anatomy musculoskeletal system medicine.disease Surgery Tendon body regions Palmar Plate medicine.anatomical_structure Ligaments Articular Ligament Upper limb business Extensor Digitorum Communis |
| Zdroj: | The Journal of Hand Surgery. 25:166-172 |
| ISSN: | 0363-5023 |
| Popis: | Three different anatomic structures have been reported to prevent reduction of a palmar dislocation of metacarpophalangeal joint: dorsal capsule, palmar plate, and a ruptured collateral ligament. In our case, extensor digitorum communis of the fifth finger and extensor digiti minimi subluxated on the ulnar side of the fifth metacarpal neck. Extensor digitorum communis of the fourth finger remained in its anatomic location. The junctura tendinum connecting the fourth and fifth extensor digitorum communis tendons slipped distal and then palmar to the metacarpal head, where it was trapped between the metacarpal neck and the base of the proximal phalanx. It was easily pulled out and the joint promptly reduced. Residual subluxation persisted due to rupture of the radial collateral ligament and the dorsal capsule. Repair restored joint reduction and stability. (J Hand Surg 2000; 25A:166-172. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|