MANAGEMENT OF INDEX METACARPHALANGEAL JOINT DISLOCATION BY VOLAR APPROACH (KAPLAN'S DISLOCATION) : A CASE REPORT

Dr Girish Gadekar, Dr Jay Ganatra, Dr Dinesh Vibhute, Dr Abhishek Chaturvedi

Abstract


INTRODUCTION
Metacaorpophalangeal dislocations are less common than
interphalangeal dislocations.They occur most commonly in
index finger.The fibrocartilagenous plate avulses from its
weakest attachment,the volar aspect of second metacarpal
neck.The flexor tendons and pretendinous band are
displaced ulnarly and lumbrical radially to metacarpal head.
The fibrocartilagenous plate is displaced dorsally over the
metacarpal head,where it becomes wedged between the
base of proximal phalynx and metacarpal head.The lateral
c o l l a t e r a l l i g a m e n t s , w h i c h a re n ow a b n o r m a l l y
d i s p l a c e d , l o c k t h e p h a l a n x i n a b n o r m a l d o r s a l
position.Distally the natatory ligament is situated dorsal to
metacarpal head with volar plate and proximally the
superficial transverse ligament extends across the
metacarpal neck volarly


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References


J.C. DeLee, R.C. Curtis, Subtalar dislocation of the foot, J. Bone Joint Surg. 64-A (1983) 433–437.

C. Bibbo, R.B. Anderson, W.H. Davis, Injury characteristics and the clinical outcome of subtalar dislocations: a clinical and radiographic

analysis of 25 cases, Foot Ankle Int. 24 (2003) 158–163.

P.T. Fortin, et al., Talus fractures: evaluation and treatment, J. Am. Acad. Orthop. Surg. 9 (2001) 114–127.

J.D. Heckman, Fractures of the talus, in: R.W. Bucholz, J.D. Heckman (Eds.), Rockwood and Green's Fractures in Adults, 5th

ed.Lippincott Williams and Wilkins, Philadelphia 2001, pp. 2091–2132.

G. Gulan, B. Sestan, Z. Jotanović, T. Madarević, M. Mikacević, J. Ravlić-Gulan, et al., Open total talar dislocation with extrusion

(missing talus), Coll. Antropol. 33 (2) (2009) 669–672.

B.E. Heck, N.A. Ebraheim, W.T. Jackson, Anatomical considerations of irreducible medial subtalar dislocation, Foot Ankle Int. 17 (2)

(Feb 1996) 103–106.

J.S.H. Gaskin, M.K. Pimple, Closed total talus dislocation without fracture: report of two cases, Eur. J. Orthop. Surg. Traumatol. 17

(2007) 409–411.

P.J. Juliano, M. Dabbah, T.G. Harris, Talar neck fractures, Foot Ankle Clin. 9 (2004) 723–736.

S.J. Lawrence, et al., Open hindfoot injuries, J. Am. Acad. Orthop. Surg. 15 (2007) 367–376.

E. Lindvall, et al., Open reduction and stable fixation of isolated displaced talar neck and body fractures, J. Bone Joint Surg. Am. 86-A

(10) (Oct 2004) 2229–2234.

E.C. Merchan, Subtalar dislocations: long-term follow-up of 39 cases, Injury 23 (1992) 97–100.

H.A. Vallier, et al., Surgical treatment of talar body fractures, J. Bone Joint Surg. Am. 85-A (9) (Sep 2003) 1716–1724.


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