gms | German Medical Science

53. Kongress der Deutschen Gesellschaft für Handchirurgie

Deutsche Gesellschaft für Handchirurgie

11.10. - 13.10.2012, Lübeck

Double dislocation of both interphalangeal joints in the little finger – Case report and literature review

Meeting Abstract

  • author presenting/speaker Tobias Kisch - Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Sektion Plastische Chirurgie, Handchirurgie, Zentrum für Schwerbrandverletzte, Lübeck, Deutschland
  • Holger Giritsch
  • Karl Mauss
  • Attila Kovacs
  • Frank Siemers
  • Peter Mailänder
  • Felix Stang

Deutsche Gesellschaft für Handchirurgie. 53. Kongress der Deutschen Gesellschaft für Handchirurgie. Lübeck, 11.-13.10.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12dgh59

doi: 10.3205/12dgh59, urn:nbn:de:0183-12dgh598

Published: October 9, 2012

© 2012 Kisch et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



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.