Ruptures of the Collateral Ligament of a Metacarpophalangeal Joint except the thumb Surgical Experience

Collateral ligament injuries of the proximal interphalangeal (PIP) joint and metacarpophalangeal (MP) joint of the thumb are relatively common. However only a small series has been reported regarding ruptures of collateral ligaments of a non-thumb MP joint. We present two interesting cases of ruptur...

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Published inOrthopedics & Traumatology Vol. 46; no. 3; pp. 790 - 795
Main Authors Ohkubo, Shinji, Uda, Hirokazu, Imada, Hideaki, Shimamura, Masatoshi, Hagiyama, Yoshitaka, Matsuo, Toshihiro, Ohsugi, Ken
Format Journal Article
LanguageEnglish
Published West-Japanese Society of Orthopedics & Traumatology 1997
Subjects
collateral ligament
metacarpophalangeal joint
volar dislocation
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ISSN0037-1033
1349-4333
DOI10.5035/nishiseisai.46.790

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Abstract Collateral ligament injuries of the proximal interphalangeal (PIP) joint and metacarpophalangeal (MP) joint of the thumb are relatively common. However only a small series has been reported regarding ruptures of collateral ligaments of a non-thumb MP joint. We present two interesting cases of ruptures of the collateral ligament of the index and ring finger, which needed surgical treatment. One was accompanied by volar dislocation of the MP joint. In both cases, the metacarpal bone head was entraped between the extensor and dorsal joint capsule. This entrapment may be most important pathologic feature militating against successful closed reduction.
AbstractList Collateral ligament injuries of the proximal interphalangeal (PIP) joint and metacarpophalangeal (MP) joint of the thumb are relatively common. However only a small series has been reported regarding ruptures of collateral ligaments of a non-thumb MP joint. We present two interesting cases of ruptures of the collateral ligament of the index and ring finger, which needed surgical treatment. One was accompanied by volar dislocation of the MP joint. In both cases, the metacarpal bone head was entraped between the extensor and dorsal joint capsule. This entrapment may be most important pathologic feature militating against successful closed reduction.
Author Uda, Hirokazu
Matsuo, Toshihiro
Hagiyama, Yoshitaka
Imada, Hideaki
Ohsugi, Ken
Shimamura, Masatoshi
Ohkubo, Shinji
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  organization: Department of Orthopaedic Surgery, Matsuyama Shimin Hospital
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References 7) McLaughlin, H. L.: Complex “Locked” Dislocation of the Metacarpophalangeal Joints. J. Trauma., 5: 683-688, 1965.
10) Reinshaw, T. S., Lous, D. S.: Complex Volar Dislocation of the Metacarpophalangeal Joint: A Case Report. J. Trauma., 13: 1086-1088, 1971.
11) 島田幸造, 多田浩一: 外傷性MP関節脱臼. 整形外科 MOOK, NO. 64, 146-157. 伊丹康人ら, 東京, 金原出版, 1992.
3) 平地一彦ら: 外傷性手指MP関節掌側脱臼―2例報告と文献例の検討. 整形外科, 44: 526-530, 1993.
13) 津下健哉ら: 示指MP関節背側脱臼について ―特に整復障害因子についての考察―. 臨整外, 8: 894-901, 1973.
9) Moberg, E., Stener, B.: Injuries to the Ligaments of the Thumb and Fingers. Diagnosis, Treatment and Prognosis. Acta Chir. Scand., 106: 166-186, 1953.
12) 玉井和夫ら: 手指MP関節の三次元幾何学的解析. 日手会誌, 5: 304-307, 1988.
1) Dray, G., Millender, L. H., Nalebuff: Rupture of the Radial Collateral Ligament of a Metacarpophalangeal Joint to One of the Ular Three Fingers. J Hand Surgery., 4: 346-350, 1979.
5) 石突正文: 指中手指節関節側副靭帯損傷. 骨折, 外傷シリーズ, 8, 111-116. 三浦隆行, 東京, 南行堂, 1987.
2) Eaton, R. G.: Joint Injuries of the Hand, pp. 35-38, 48-50. Edited by Charles C Thomas, Springfield, 1971.
4) 五十嵐康美: 環指MP関節掌側脱臼の1例. 臨整外, 28: 1159-1162, 1993.
6) 石突正文ら: 指MP関節側副靭帯損傷例の検討. 整形外科, 33: 1552-1554, 1982.
14) Wood, M. B., Dobyns, J. H.: Chronic, Complex Volar Dislocation of the Metacarpophalangeal Joint. J Hand Surgery., 6: 73-76, 1981.
8) 三浪明男: 示指MP関節の生体力学的研究 ―関節包靭帯構造の関節支持性への役割―. 日手会誌, 1: 465-468, 1984.
References_xml – reference: 3) 平地一彦ら: 外傷性手指MP関節掌側脱臼―2例報告と文献例の検討. 整形外科, 44: 526-530, 1993.
– reference: 2) Eaton, R. G.: Joint Injuries of the Hand, pp. 35-38, 48-50. Edited by Charles C Thomas, Springfield, 1971.
– reference: 14) Wood, M. B., Dobyns, J. H.: Chronic, Complex Volar Dislocation of the Metacarpophalangeal Joint. J Hand Surgery., 6: 73-76, 1981.
– reference: 12) 玉井和夫ら: 手指MP関節の三次元幾何学的解析. 日手会誌, 5: 304-307, 1988.
– reference: 6) 石突正文ら: 指MP関節側副靭帯損傷例の検討. 整形外科, 33: 1552-1554, 1982.
– reference: 13) 津下健哉ら: 示指MP関節背側脱臼について ―特に整復障害因子についての考察―. 臨整外, 8: 894-901, 1973.
– reference: 4) 五十嵐康美: 環指MP関節掌側脱臼の1例. 臨整外, 28: 1159-1162, 1993.
– reference: 8) 三浪明男: 示指MP関節の生体力学的研究 ―関節包靭帯構造の関節支持性への役割―. 日手会誌, 1: 465-468, 1984.
– reference: 7) McLaughlin, H. L.: Complex “Locked” Dislocation of the Metacarpophalangeal Joints. J. Trauma., 5: 683-688, 1965.
– reference: 11) 島田幸造, 多田浩一: 外傷性MP関節脱臼. 整形外科 MOOK, NO. 64, 146-157. 伊丹康人ら, 東京, 金原出版, 1992.
– reference: 1) Dray, G., Millender, L. H., Nalebuff: Rupture of the Radial Collateral Ligament of a Metacarpophalangeal Joint to One of the Ular Three Fingers. J Hand Surgery., 4: 346-350, 1979.
– reference: 10) Reinshaw, T. S., Lous, D. S.: Complex Volar Dislocation of the Metacarpophalangeal Joint: A Case Report. J. Trauma., 13: 1086-1088, 1971.
– reference: 5) 石突正文: 指中手指節関節側副靭帯損傷. 骨折, 外傷シリーズ, 8, 111-116. 三浦隆行, 東京, 南行堂, 1987.
– reference: 9) Moberg, E., Stener, B.: Injuries to the Ligaments of the Thumb and Fingers. Diagnosis, Treatment and Prognosis. Acta Chir. Scand., 106: 166-186, 1953.
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SubjectTerms collateral ligament
metacarpophalangeal joint
volar dislocation
Title Ruptures of the Collateral Ligament of a Metacarpophalangeal Joint except the thumb Surgical Experience
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