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Levet P, de Villeneuve Bargemon JB, Mayoly A, Viaud-Ambrosino S, Kachouh N, Jaloux C. Locking of the metacarpophalangeal joint: A comprehensive review of the literature. ANN CHIR PLAST ESTH 2024; 69:271-277. [PMID: 37723044 DOI: 10.1016/j.anplas.2023.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 09/03/2023] [Accepted: 09/04/2023] [Indexed: 09/20/2023]
Abstract
Locked metacarpophalangeal joint is an uncommon phenomenon with many possible etiologies. Diagnosis can be difficult because of the many more common pathologies (trigger finger, sagittal band lesion, etc.) that can lead to a clinical picture that may resemble the locked metacarpophalangeal joint. Once the differential diagnoses have been eliminated, the etiology of this blockage must be determined and the surgical procedure must be oriented. The origin of the problem is often difficult to determine, especially since standard imaging tests are often not very informative. Several clinical forms are possible, with blockages in extension or flexion, but which will have a disabling functional impact on the overall function of the hand. Currently, there is no gold standard for the management of this condition. In this study, we performed a review of the literature in order to better understand the different possible etiologies but also to analyze the different diagnostic and therapeutic management. LEVEL OF EVIDENCE: IV.
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Affiliation(s)
- P Levet
- Hand Surgery and Limb Reconstructive Surgery, Timone Adult Hospital, Aix-Marseille University, 264, rue Saint-Pierre, 13005 Marseille, France
| | - J-B de Villeneuve Bargemon
- Hand Surgery and Limb Reconstructive Surgery, Timone Adult Hospital, Aix-Marseille University, 264, rue Saint-Pierre, 13005 Marseille, France; Hand, Wrist and Elbow Surgery, Saint-Roch Private Hospital, 99, avenue Saint-Roch, 83100 Toulon, France.
| | - A Mayoly
- Hand Surgery and Limb Reconstructive Surgery, Timone Adult Hospital, Aix-Marseille University, 264, rue Saint-Pierre, 13005 Marseille, France
| | - S Viaud-Ambrosino
- Hand Surgery and Limb Reconstructive Surgery, Timone Adult Hospital, Aix-Marseille University, 264, rue Saint-Pierre, 13005 Marseille, France
| | - N Kachouh
- Hand Surgery and Limb Reconstructive Surgery, Timone Adult Hospital, Aix-Marseille University, 264, rue Saint-Pierre, 13005 Marseille, France
| | - C Jaloux
- Hand Surgery and Limb Reconstructive Surgery, Timone Adult Hospital, Aix-Marseille University, 264, rue Saint-Pierre, 13005 Marseille, France
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VanHelmond TA, Kim MT, Wang ED. Middle Finger Metacarpophalangeal Joint Locked in Flexion Caused by Entrapped Ulnar Collateral Ligament. JOURNAL OF HAND SURGERY GLOBAL ONLINE 2022; 4:379-381. [DOI: 10.1016/j.jhsg.2022.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 08/09/2022] [Indexed: 11/16/2022] Open
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