J Korean Soc Surg Hand.  2011 Sep;16(3):149-153.

Open Reduction Through the Modified Volar Approach in Complex Dorsal Dislocations of the Metacarpophalangeal Joint

• Choi SJ
• Kwon BC
• Lee YB
• Shin WH

Abstract

PURPOSE
To describe the surgical treatment of the complex dorsal metacarpophalangeal dislocations and its results, emphasizing on the modified volar approach with A1 pulley release.
MATERIALS AND METHODS
We experienced 6 cases of dorsal dislocation of the metacarpophalangeal joint. We performed open reduction with the modified volar approach described by Eaton and Dray. Postoperatively posteroanterior and lateral radiographs of the index finger metacarpophalangeal joint and metacarpophalangeal joint range of motion was followed.
RESULTS
One case with a large osteochondral fracture was operated with volar and doral approach both. Overall end results were good without any significant restriction of motion and stability of the fingers.
CONCLUSION
Modified volar approach with A1 pulley release is an excellent method for complex dorsal metacarpophalangeal dislocations without osteochondral fracture.

Keyword

Metacarpophalangeal dorsal dislocation; Modified volar approach; A1 pulley release

MeSH Terms

Benzodiazepines
Dislocations
Fingers
Metacarpophalangeal Joint
Range of Motion, Articular
Benzodiazepines