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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2020, Number 2

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An Med Asoc Med Hosp ABC 2020; 65 (2)

Rotational palmar dislocation of the proximal interphalangeal finger joint

Fernández PLJ, Fernández VJM, Domínguez CND, Miranda OLA

Language: Spanish
References: 8
Page: 139-143
PDF size: 352.40 Kb.


ABSTRACT

Rotational palmar dislocations of the proximal interphalangeal joint of the finger are rare lesions. It consists in a rotational mechanism in almost all of the cases. The nature of the soft tissue lesions found clinically the indications for closed or surgical treatment, reconstruction techniques and long term outcome haven’t received attention because most of reports have been isolated cases. We present the case of a patient who presents forced traction and torsion of the middle finger causing palmar dislocation of the proximal interphalangeal joint. Closed reduction is made under general anesthesia and fluoroscopic guidance. Stress maneuvers were done, finding positive radial stress test. Surgical exploration was done finding central slip rupture and radial collateral ligament rupture at the proximal phalanx of middle finger, which were repaired surgically. At present, the patient has functional ranges of movement and back to physical activity.


REFERENCES

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