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Open Access Case Report

Simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of the fifth phalanx: A case report

Koray Unay1, Korhan Ozkan1*, Ender Ugutmen1, Feyza Unlu Ozkan2, Abdullah Eren1 and Kerem Bilsel3

Author Affiliations

1 Goztepe Research and Training Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey

2 Fatih Sultan Mehmet Research and Training Hospital, Physical Theraphy and Rehabilitation, Istanbul, Turkey

3 Istanbul University, School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey

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Cases Journal 2008, 1:208  doi:10.1186/1757-1626-1-208

Published: 3 October 2008

Abstract

Introduction

There is no case of simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of a finger in the literature.

Case presentation

A 61 years old male patient sustained an ipsilateral dorsal dislocation of the PIP joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint. Closed reduction of proximal interphalangeal joint was achieved while open reduction of the metacarpophalangeal joint was carried out.

Conclusion

The single most important element preventing reduction of the metacarpophalangeal joint was an interposition of the volar plate between proximal end of the phalanx and the head of the metacarpal.