gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Locked metacarpophalangeal joint – a simple approach

Meeting Abstract

  • presenting/speaker Martin Franz Langer - Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Germany
  • Britta Wieskoetter - Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Sektion Hand, Münster, Germany
  • Simon Oeckenpöhler - Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany
  • Sarah Breiter - Universitätsklinikum Münster, Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie, Münster, Germany

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1516

doi: 10.3205/19ifssh0134, urn:nbn:de:0183-19ifssh01349

Veröffentlicht: 6. Februar 2020

© 2020 Langer et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objectives/Interrogation: Blocked MP joints have a poor prognosis in the shelf when operated on a palmar access. We report on the pathomechanism and a new simple method of surgery.

Methods: The MP joints, which are mostly blocked at 50 ° flexion, are band structures that stick to a spur of the metacarpal heads. usually this spur is removed via a palmar access. Most patients treated in this way have a very long convalescence period and the results are only moderately good or bad.

Our dorsal access technique is simpler and involves a severing of the trailing fibers.

Results and Conclusions: 6 patients with entrapment MP-jonts could be treated successfully. The convalescence period was very short.

Illustrative cases, literature review and surgical technique.