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fingers
Docteur S.Carms
Centre de la Main, Clinique des Eaux Claires
Guadeloupe
on of lo n g
i slo ca ti
MP d j u r i es
r e r a r e i n
f i n ger s a
McLaughlin HL: Complex "locked" dislocation of the metacarpophalangeal joints. J Trauma 5:683-8, 1965
Palmar dislocation of the MP joint
Simple dislocation
Volar plate is not separated from
the proximal phalanx,
The digit is grossly
hyperextended in a resting posture.
Complex dislocation
Separation of the volar plate
from the proximal phalanx and
entrapment of the plate within the
joint
at om y of MP
Patho-an
dislo ca t i on
Pain,
Functional limitation
But deformity may be
minimal
Index (finger) presents with slight hyperextension,
slight ulnar deviation and rotation deformity
Sometimes the metacarpal head is palpable with
dimpling of the palmar skin near the dislocated joint
i a g n o si s may
d i olo gi ca l d
Ra
b e d i f f i cu lt
a ls o
in this patient, everyone has noted the fracture of M3, but the
index MP joint is also dislocated
Same patient
f t en y ou may
Most o
o b s er ve
Overlapping of the
joint lines or
enlargement of the
joint
f t en y ou may
Most o
o b s er ve