Simultaneous Double Interphalangeal Joints Dislocation in a Finger in a Teenager

Abstract

The English literature reports a mere handful of cases involving simultaneous dislocation of two joints in the same finger. To our knowledge, all cases reported to date have been in skeletally mature individuals. We report a case of simultaneous proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints dislocations in one finger in a 14-year-old rugby player, managed by closed reduction and early mobilization, with excellent outcome.

Simultaneous double interphalangeal joints dislocation in a finger in a teenager

“…u r n a l o f c l i n i c a l o r t h o p a e d i c s a n d t r a u m a 5 ( 2 0 1 4 ) 1 0 7 e1 0 9 Until now, the youngest case in literature was the 14-yearold case presented by Nusem et al (2012) which has been put forth as little finger injury. 5 The age of our case is 12 and we believe that this is the youngest case in literature.…”

“…1e5 The youngest among these is the 14-year-old case reported by Nusem et al (2012). As far as we know, our case will be the youngest in literature.…”

Simultaneous double of both interphalangeal joints dislocation of same finger in a volleyball player: A case report

“…[1,4] The probably reason is more vulnerable to trauma and owing to weakness adjacent to surrounding ligament structure in both fourth and fifth finger [1]. The other reason is that proximal anatomical morphology of finger with shallow articular surface itself leads to laxity on extension [5,6]. Firstly, dislocation distal interphalangeal joint, proximal interphalangeal joint is dislocated to following hyperextension force is affected to the middle phalanx.…”

Double Dislocation of Interphalangeal Joints Accompanied with Contralateral Shoulder Dislocation: A Case Report

“…The observation of such dislocations were made as back as the nineteenth century, with Bartels reporting the first case in 1874 . Although many authors have described these dislocations as “simultaneous”, this word is actually a misnomer . A consensus among all authors is that a hyperextension force is the prime causative factor involved in this injury.…”

“…Fall is the second common reason implicated in some of the cases. A classic “step‐ladder” deformity is evident in the affected finger of such patients …”