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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 2, 227-229.
doi: 10.1302/0301-620X.89B2.18560  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Metacarpophalangeal joint dislocation of the thumb in children

R. Maheshwari, MBBS, MRCS(Edin), MSc(Orth Eng), Orthopaedic Surgeon1; H. Sharma, MBBS, FRCS, Specialist Registrar in Orthopaedics2; and R. D. D. Duncan, FRCS(Orth), Consultant in Paediatric Orthopaedics2

1 Doncaster Royal Infirmary, Doncaster DN2 5LT, South Yorkshire, UK.
2 Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, UK.

Correspondence should be sent to Mr R. Maheshwari; e-mail: rajanmh{at}aol.com

There are few reports describing dislocation of the metacarpophalangeal joint of the thumb in children. This study describes the clinical features and outcome of 37 such dislocations and correlates the radiological pattern with the type of dislocation.

The mean age at injury was 7.3 years (3 to 13). A total of 33 children underwent closed reduction (11 under general anaesthesia). Four needed open reduction in two of which there was soft-tissue interposition. All cases obtained a good result. There was no infection, recurrent dislocation or significant stiffness.

So-called ‘simple complete’ dislocations that present with the classic radiological finding of the joint at 90° dorsal angulation may be ‘complex complete’ injuries and require open reduction.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General