Posterior dislocations of the metacarpophalangeal joint thumb are due to hyperextension trauma and relatively rare. We present case a patient in whom closed reduction was not achieved, requiring open anchoring palmar plate with transosseous pull out technique. A literature review focused on treatment carried out. All authors agree that should be first therapeutic gesture. If this is performed t...

A classical guitarist performing for at least 5 hours each day developed a traumatic synovitis at the left wrist joint that was first erroneously considered to be rheumatoid arthritis. Comparison with members of the same guitar class suggested that unusual joint laxity of the fingers and wrist, probably inherited from the patient's father, was of more importance in the aetiology of the synoviti...

A 37-year-old man presented to our clinic after sustaining a low-speed motorcycle accident. He suffered minor facial abrasions and pain at his right thumb metacarpophalangeal (MCP) joint consistent with a gamekeeper injury. He was placed in a splint for several weeks; however, he had persistent pain and was thus evaluated with an MRI (magnetic resonance imaging) revealing a torn ulnar collatera...

In this study of 38 patients, we assessed the clinical result following surgical treatment of Dupuytren's disease with isolated fifth ray involvement, particularly with respect to the proximal interphalangeal joint. Three surgical techniques were used: limited fasciectomy, segmental fasciectomy and dermofasciectomy. At a mean follow-up time of 53.6 months, there were no residual deformities nor...

This report describes the diagnosis and management of repetitive stress-related injury (RSRI) of the proximal metacarpus in a seven-year old Thoroughbred racehorse. Intra-articular analgesia of the middle carpal joint (MCJ) as well as perineural analgesia of the lateral palmar nerve (LPN) abolished lameness and a diagnosis of RSRI of the proximopalmar metacarpus was made after nuclear scintigra...

Locking of the metacarpophalangeal (MCP) joint is commonly caused by hyperextension of the thumb or moderate flexion of the index or middle finger. We report a rare case of vertical locking of the MCP joint of the little finger in a 16-year old female after blunt trauma to the little finger. The MCP joint was locked when positioned at approximately 90-degree-flexion and could not extend activel...

INTRODUCTION An understanding of abnormal finger motion depends on a basic knowledge of normal functional anatomy, which can be found in the contributions made by Eyler and Markee (! 954), Kaplan (! 953), Milford (! 968), Stack (! 962), Tubiana and Valeillin (1963). It is then possible to appreciate that the finger is a combination of two biarticular, bimuscular ~ystems: a proximal system consi...

A case of multiple carpometacarpal joints volar dislocation in a young man of 25 years of age is reported. He presented with pain and deformity of his left hand immediately after road traffic accident. He was unable to move his left hand. X-rays of the affected hand showed volar dislocation of all four medial carpometacarpal joints. Dislocated joints were reduced, fixed with K-wires and immobil...

BACKGROUND The goals of this study were to compare maximal metacarpophalangeal joint (MCPJ) flexion angles after application of a volar short arm splint at 3 different locations and verify the relations between the three different physical and radiological locations. METHODS Forty dominant hands of healthy subjects were analyzed in the study. We defined a transverse skin folding line as a lin...