[Simultaneous dorsal luxation of metacarpophalangeal joints of the four long fingers. Apropos of a case]. / Luxation dorsale simultanée des articulations métacarpophalangiennes des quatre doigts longs.

PURPOSE OF THE STUDY: The authors describe an unusual case of simultaneous dorsal dislocation of the metacarpophalangeal joints of the index, long, ring, and little fingers. MATERIAL AND METHODS: A 67-year-old man fell on the pavement when walking, striking his outstretched left hand. A diagnosis of multiple fingers dislocation was easily clinically and radiologically established. The wound was cleaned and the dislocations reduced by closed manipulation at the operating room. RESULT: The patient had an uneventful recovery, after a three week period of immobilization with a dorsal extension block splint. DISCUSSION AND CONCLUSIONS: The use of art extension block splint allowed a minimal healing delay for disrupted volar metacarpophalangeal structures, allowing a good fingers range of motion.

Isolated fracture of the capitate with a volar dislocated fragment.

We describe a patient with a capitate fracture with a volar dislocation of the proximal fragment. After open reduction and pin fixation an excellent range of wrist motion was achieved.