Dislocations of fingers

Mostly occur joints of the fingers

1 metacarpophalangeal joint
dislocation
2 proximal interphalangeal joint
dislocation
3 distal interphalangeal joint
dislocation
 1 metacarpophalangeal joint dislocation

• Due to injury volar plate or entrapment

• Dislocation of mcp join can either
a) simple dislocation
b) complex dislocation
 a) simple dislocation

• Volar plate stays volar

• Presents with hyperflexion posture of finger
• Can be reducible
reduction can be achieved with simple flexion
of the joint
Usually stable after reduction
 b) complex dislocation

• Irreducible why?
because of volar plate not stays volar , entrapt
joint and create widening joint space.
Occurs more in index finger.\
.Require surgery
2 proximal interphalangeal joint dislocation

• This dislocation are either

a) dorsal dislocaion
b)volar dislocation
• a) dorsal dislocaion
due to volar plate injury

Can be reduced easily with traction of the finger

followed with flexion.
• Volar dislocation
long finger is the most common one
Mx : immobolize in extension

If untreated result boutoners deformity

3 Distal interphalangeal joint dislocation

• Due to rupture volar plate

• They are unstable and should be immobolized
in some flexion.
Carbometacarbal joint dislocation
 Carbometacarbal joint dislocation
• Caused by forceful dorsoflexion of the wrist
combined with longitudinal impact.
• Most seen in boxers and motor cyclists, some
times associated with intra articular frx at the
base of metacarpals.
• Image
xray ,
CT SCAN is best
• Mx
dislocation can be reduced by
traction, manipulation, and thumb pressure.
if reduction is unstable : holding with
percutaneous wires is necessary.
• If a thumb alone is dislocated ;it should be
reduced and careful re-exam
stable: a plaster cast for 6 weeks
if unstable: should be held with kirschner
wire(k wire)