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Open Reduction Through the Modified Volar Approach in Complex Dorsal Dislocations of the Metacarpophalangeal Joint
Journal of the Korean Society for Surgery of the Hand ; : 149-153, 2011.
Artigo em Coreano | WPRIM | ID: wpr-45589
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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Benzodiazepinas / Amplitude de Movimento Articular / Luxações Articulares / Dedos / Articulação Metacarpofalângica Idioma: Coreano Revista: Journal of the Korean Society for Surgery of the Hand Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Benzodiazepinas / Amplitude de Movimento Articular / Luxações Articulares / Dedos / Articulação Metacarpofalângica Idioma: Coreano Revista: Journal of the Korean Society for Surgery of the Hand Ano de publicação: 2011 Tipo de documento: Artigo