A new technique for closed management of displaced intra-articular fractures of metacarpal and phalangeal head delayed on presentation: report of eight cases

Houshian, Shirzad; Jing, Shan Shan

doi:10.1177/1753193413478350

Cited by 11 publications

(3 citation statements)

References 7 publications

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“…Subsequent joint incongruity and metacarpal shortening can result in loss of motion, degenerative arthritis and reduced grip force (Bushnell et al, 2008; Wills et al, 2013). Several management options have been advocated, similar to more distal metacarpal fractures (Greeven et al, 2013; Houshian and Jing, 2014; Neumeister et al, 2014; Sahu, et al, 2012; Sletten et al, 2012; Xing and Tang, 2014). Petrie and Lamb reported successful non-operative treatment of fracture dislocations involving the LF, despite the risk of displacement due to forces created by the extensor carpi ulnaris and the hypothenar muscles (Petrie and Lamb, 1974).…”

Section: Discussionmentioning

confidence: 99%

Fracture-dislocations of the carpometacarpal joints of the ring and little finger

Gehrmann

Kaufmann

Grassmann

et al. 2014

J Hand Surg Eur Vol

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We report the functional and radiographic results of 16 patients with fracture-dislocations of the ring and little finger carpometacarpal joints and 23 cases with fracture-dislocations of only the little finger carpometacarpal joint treated between 2006 and 2012. The above two cohort populations of patients were treated with either open reduction and pin fixation or closed reduction and pin fixation. These patients were followed for a mean of 13 months (range 9 to 48). The DASH scores for patients with fracture-dislocations of the ring and little finger carpometacarpal joints were 6.0 and of the little finger carpometacarpal joint 7.2. We found no functional differences in term of DASH scores after treatment between patients with fracture-dislocations of only the little finger carpometacarpal joint and both the ring and little finger carpometacarpal joints.

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Section: Discussionmentioning

confidence: 99%

Fracture-dislocations of the carpometacarpal joints of the ring and little finger

Gehrmann

Kaufmann

Grassmann

et al. 2014

J Hand Surg Eur Vol

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“…1,2 There are multiple techniques described for the treatment of these fractures that frequently require surgery since they occur with displacement or comminution which make anatomical reduction and stabilization necessary. [1][2][3][4][5][6][7][8] Arthroscopic techniques for small joints have been developed greatly in the last 40 years since their description. [9][10][11] There is growing evidence to suggest that small joint arthroscopy can be a safe and valuable tool in the management of comminuted head metacarpal fractures and intraarticular base of phalanges fractures.…”

Section: Historical Perspectivementioning

confidence: 99%

“…1 2 There are multiple techniques described for the treatment of these fractures that frequently require surgery since they occur with displacement or comminution which make anatomical reduction and stabilization necessary. 1 2 3 4 5 6 7 8…”

Section: Historical Perspectivementioning

confidence: 99%

Arthroscopic Assistance and Percutaneous Fixation of Complex Intraarticular Metacarpophalangeal Fracture

Jorquera,

Melibosky,

Villavicencio

et al. 2024

J Wrist Surg

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Comminuted fractures involving the metacarpophalangeal joint are a real challenge for the hand surgeon due to the complexity of their management and the high frequency of functional sequelae caused by the incongruence of the joint surfaces and the injury of soft tissues requiring repair. Metacarpophalangeal joint arthroscopy is an emerging and useful tool for the upper extremity surgeon allowing assisted reduction and percutaneous fixation of these fractures since it permits a complete evaluation of the joint fragments and enables precision in the reduction with the advantage of being a minimally invasive and safe technique. This technique was performed in two patients with complex fractures of the metacarpophalangeal joint with good functional results. In conclusion, this technique is reproducible, with good results and minimal soft-tissue morbidity. It allows a stable osteosynthesis, enabling early joint mobility and rehabilitation, which is essential for function recovery.

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Verletzungen der Grundgelenke und ihre Folgen

Meier

2014

Unfallchirurg

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Injuries of the metacarpophalangeal joints of the thumb and fingers are of a bony or ligamentous nature. They can heal without subsequent problems if correctly diagnosed and treated but incorrect or absent diagnostics and therapy can result in chronic instability, dislocation, fusion as well as subsequent arthritis and functional limitations. They can lead to substantial impairment of the gripping function. Fractures with inclusion of joints and with fragments sufficiently large for refixation are as a rule treated operatively just as differences in torsion and instability. Persisting instabilities are secondarily stabilized by ligamentoplasty and arthritis of the metacarpophalangeal joint of the thumb is treated by fusion. For metacarpophalangeal joints of the fingers the main concern is preserving motion. Established salvage operations for arthritis include denervation, resection arthroplasty and systematic arthrolysis for impairment of the joint and contractures with intact joint surfaces. Even in chronic conditions, with appropriate treatment good functional results for metacarpophalangeal joints of the thumb and fingers can be achieved. This article presents the current pathophysiological principles and concepts for diagnostics and therapy of acute and chronic injuries of the metacarpophalangeal joints of fingers and thumbs.

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A new technique for closed management of displaced intra-articular fractures of metacarpal and phalangeal head delayed on presentation: report of eight cases

Cited by 11 publications

References 7 publications

Fracture-dislocations of the carpometacarpal joints of the ring and little finger

Fracture-dislocations of the carpometacarpal joints of the ring and little finger

Arthroscopic Assistance and Percutaneous Fixation of Complex Intraarticular Metacarpophalangeal Fracture

Verletzungen der Grundgelenke und ihre Folgen

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