Article
Double dislocation of both interphalangeal joints in the little finger – Case report and literature review
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Published: | October 9, 2012 |
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Outline
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Objective: Dislocation of an interphalangeal joint in a finger is a common traumatic injury. Double dislocations of both interphalangeal joints are rare conditions. You can only find about 100 cases since the first description in 1874.
A 37-year old right handed goalkeeper fell on his dominant hand while playing soccer. The little finger showed a stepladder deformity without any open wounds. A radiograph showed dorsal dislocations at both interphalangeal joints.
Method: We performed closed reduction and due to stable joint conditions.
Results: The follow-up after 1 month showed a full range of motion.
Conclusion: Mostly affected by these injuries are young men. Normally the ring or small finger is involved, with dislocations especially caused by ball games accidents with hyperextension force.
Most double dislocations were treated the same way than simple dislocations and had a good outcome. Surgical treatment must only be performed in cases of open dislocations, concomitant fractures, unsuccessful closed reposition or joint instability.