Dislocation of both interphalangeal joints of one finger

Simultaneous extraarticular fracture of the base of the first metacarpal and dislocation of the metacarpophalangeal joint of the thumb: A case report

Double fracture-dislocations of the thumb are rare. Only a single case report of a simultaneous extra- articular fracture of the base of the first metacarpal and dislocation of the metacarpophalangeal joint has been previously reported. We report the second case report of this injury in a 20-year-old man. The patient had an excellent outcome after treatment.

Double Dislocation of Interphalangeal Joints Accompanied with Contralateral Shoulder Dislocation: A Case Report

Dislocation of any joint is an orthopaedic emergency and needs immediate attention by the attending physician. A delay in reducing a dislocated joint can lead to disastrous complications both immediately as well as in the long run. Although anterior dislocation of a shoulder joint is by far the commonest dislocation encountered by any emergency care physician, other joints may also get dislocated. In certain cases two joints may get dislocated simultaneously. Such dislocation is known as a double dislocation. Double dislocation of the proximal interphalangeal joint and the distal interphalangeal joint in the same finger is a rare injury. High impact loading at the fingertip is the primary cause in most cases and it is often associated with younger individuals playing contact sports. The right little finger is the digit commonly involved and this injury is evident in football players more often than not. Although closed reduction is a preferred treatment, it may not be always successful. Time of presentation, tendon interposition, associated swelling and co-existent phalangeal fractures are certain key impediments to a successful closed reduction manoeuvre. In patients with an open injury, a thorough wash out and appropriate antibiotic cover is mandatory. We report a rare case of double dislocation of the interphalangeal joints accompanied with contralateral shoulder dislocation in an elderly man sustained after a fall which was treated successfully with closed reduction and early mobilization.

Simultaneous dislocation of both the proximal and distal interphalangeal joints of a little finger

A 39-year-old man fell at work sustaining dislocation of both the proximal and distal interphalangeal joints of his left little finger. The injuries were assessed and treated with closed reduction and stabilised by buddy taping. Early active range of movement was encouraged and a referral to physiotherapy was made. At the final follow-up, 4 months after the injury, he lacked subtle end of range movement actively, but functionally he was coping well and had made a full return to work.

Double dislocation of finger interphalangeal joints

A 62-year-old, right-hand-dominant man who had dementia and lived in an Elderly Mentally Infirm (EMI) nursing home was admitted through Accident & Emergency (A&E) department following unwitnessed injury to the left little finger. His examination revealed a swollen and deformed left little finger with a laceration along the middle crease on the volar aspect and head of proximal phalanx visible through this. Distally sensations and capillary refill was normal. X-rays showed a double dislocation of both proximal and distal interphalangeal joints. The finger was reduced under ring block and the laceration was washed with saline in A&E. The patient was taken to the operation theatre next morning for wound exploration and wash-out±stabilistion of the finger under general anaesthesia. The wound was thoroughly washed out and closed with 4/0 interrupted nylon. The finger was immobilised with neighbour strapping and bandaged in flexion.

SIMULTANEOUS DORSAL DISLOCATION OF THE INTERPHALANGEAL JOINTS IN RING FINGER WITH PROXIMAL INTERPHALANGEAL JOINT DISLOCATION OF THE MIDDLE FINGER: CASE REPORT AND REVIEW OF THE LITERATURE

A 30-year-old amateur goalkeeper sustained simultaneous dislocation of the proximal and distal interphalangeal joints of the ring finger and of the proximal interphalangeal joint of the middle finger following a hyperextension injury. This was reduced under a local anaesthetic. Neighbour finger strapping and early mobilisation achieved an excellent functional outcome when reviewed at eight weeks after the initial injury.

IRREDUCIBLE SIMULTANEOUS DISLOCATION OF BOTH INTERPHALANGEAL JOINTS IN THE LITTLE FINGER: A CASE REPORT

We present a case with irreducible simultaneous dislocation of both the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints in the little finger. A combination of the delay from injury to closed reduction and the entrapped flexor digitorum profundus (FDP) tendon at the PIP joint prevented closed reduction from being performed. To our knowledge, this is the first report of such a condition.

Simultaneous double interphalangeal dislocation in a finger

A rare case of simultaneous dorsal dislocation of both interphalangeal joints in a finger is presented. Review of reported cases revealed that this injury usually occurs on the ulnar side of the hand of young male athletes and has a good outcome with conservative treatment.

Double dislocation of the interphalangeal joints in the finger. Case report and review of publications

A 66-year-old woman presented with a painful swollen finger and was shown radiographically to have dorsal dislocation of both interphalangeal joints, which responded to immobilisation and physiotherapy. Unlike single dislocations of finger joints double dislocations are rare, only 52 cases have been reported between 1874 and 1992 to our knowledge.

Simultaneous dorsal dislocation of both interphalangeal joints in a finger

This paper has described three cases of simultaneous dorsal dislocation of both interphalangeal joints of a finger. Although two of three patients had minimal limitation of the active range of motion of the PIP and DIP joint, none had complaints of functional disability in their finger.

Double dislocations of digits

We report eight patients who sustained simultaneous dislocations of two joints in a digit. The little finger was involved in five patients.

Simultaneous dislocation of both interphalangeal joints in a finger

Unlike dislocations of the distal or proximal interphalangeal joints, the simultaneous dislocation in a single finger of both seems to be a rare occurrence. Reduction and checking of the collateral ligament, extensor tendon, and volar plate, followed by 3 weeks of splinting in the intrinsic plus position seems to be the treatment of choice.

Simultaneous dorsal dislocation of the interphalangeal joints in a finger. Case report and review of the literature

A case report and review of the English literature on the simultaneous dorsal dislocation of the interphalangeal joints of the finger are presented. This injury usually occurs on the ulnar side of the hand of young male athletes. It is easily reduced by a closed technique, although slight limitation of motion and joint swelling may persist.

Simultaneous dorsal dislocation of the proximal and distal interphalangeal joints in one digit

Dorsal dislocation of a proximal and distal interphalangeal joint is a common clinical problem. However, simultaneous dorsal dislocation of both interphalangeal joints in a single digit is rare. We describe the first case of an open, simultaneous proximal and distal interphalangeal dislocation. Patient outcome following vigorous wound care, closed reduction, and four weeks of immobilization was excellent. Review of reported cases revealed that these injuries occur most commonly in men, on the dominant hand, and in association with sporting injuries or falls, and typically have a good outcome following closed reduction and splinting.

Simultaneous Dislocations of the Interphalangeal and Carpometacarpal Joints of the Thumb: A Case Report

A case of simultaneous dislocations of the interphalangeal and carpometacarpal joints of the thumb after a fall is described. We believe this is a unique situation not reported before in the literature. The results of operative intervention of the open IP joint and closed CMC joint dislocations resulted in a stable pain-free thumb with a good range of motion.

[Simultaneous luxation of proximal and distal interphalangeal joints of the fingers]

We report five cases of simultaneous dislocation of both interphalangeal joints of the finger. We observed that the mechanism, diagnosis and treatment of our cases were similar to the published reports of the world literature. In conclusion, we remark that this injury, of rare occurrence, should be treated with conservative treatment by manipulation, and if a good functional result is desired, adequate physiotherapy treatment is required.

Simultaneous dislocation of the interphalangeal and metacarpo-phalangeal joints in a thumb

Dislocation of more than one joint in a digit is a rare injury. Although several case studies have appeared describing multiple interphalangeal dislocations in fingers (Ikpeme, 1977; Nathan, 1973 and Weseley, 1978), no report of interphalangeal and metacarpo-phalangeal dislocations in the same thumb has been published.

Simultaneous dislocation of the interphalangeal and metacarpophalangeal joints of the thumb: a case report

A complete dislocation of the proximal phalanx of the thumb is presented. At 6 months after the injury, the patient had a painless right thumb with a full range of motion. No such similar case has been found in the literature.