“…This is why maintenance of the reduced position was difficult in our case. In cases where the metacarpophalangeal joint is stable after closed reduction, non-operative treatment yields the favourable functional results (Boland, 1984;Khuri , 1986;Takami et al, 1999). However, if the instability persists after closed reduction or reduction is impossible, one should not hesitate to carry out an open reduction.…”