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Case Report
Irreducible Dislocation of the Interphalangeal Joint of the Thumb: A Case Report
Phil Hyun Chung, M.D., Suk Kang, M.D., Chung Soo Hwang, M.D., Jong Pil Kim, M.D., Young Sung Kim, M.D., Kwang Uk An, M.D.
Journal of the Korean Fracture Society 2008;21(2):165-168.
DOI: https://doi.org/10.12671/jkfs.2008.21.2.165
Published online: April 30, 2008

Department of Orthopaedic Surgery, College of Medicine, Dongguk University, Gyeongju, Korea.

Address reprint requests to: Young Sung Kim, M.D. Department of Orthopaedic Surgery, Gyeongju Hospital, College of Medicine, Dongguk University, 1090-1, Seokjang-dong, Gyeongju 780-350, Korea. Tel: 82-54-770-8221, Fax: 82-54-770-8378, kys7374@freechal.com

Copyright © 2008 The Korean Fracture Society. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Dislocations of the interphalangeal joint of the thumb are rather uncommon as a result of the inherent stability of the interphalangeal joint. Irreducible dislocations of these joint are rare. The authors report a case of irreducible dislocation of the interphalangeal joint of the thumb with interposed palmar plate, and reduced by open reduction.
  • Key words: Thumb, Interphalangeal joint, Irreducible dislocation, Open reduction
  • 1. Failla JM. Irreducible thumb interphalangeal joint dislocation due to a sesamoid and palmar plate: a case report. J Hand Surg Am, 1995;20:490-491.Article
  • 2. Gerard F, Pem R, Garbuio P, Obert L, Tropet Y. Irreducible dorsal dislocation of the interphalangeal joint of the thumb due to the palmar plate. A case report. Ann Chir Main Memb Super, 1998;17:63-67.Article
  • 3. Greenfield GQ Jr. Dislocation of the interphalangeal joint of the thumb. J Trauma, 1981;21:901-902.Article
  • 4. Kitagawa H, Kashimoto T. Locking of the thumb at the interphalangeal joint by one of the sesamoid bones. A case report. J Bone Joint Surg Am, 1984;66:1300-1301.
  • 5. Mohan BV, Kishan S, Munshi P, Pathak RH, Pandit H. Irreducible dislocation of the interphalangeal joint of the thumb. J Postgrad Med, 1996;42:30-31.
  • 6. Nakae H, Endo S, Hoshi S. Two cases of closed dislocation of the interphalangeal joint of the thumb. Arch Orthop Trauma Surg, 1996;15:236-237.ArticlePDF
  • 7. Sabapathy SR, Bose VC, Rex C. Irreducible dislocation of the interphalangeal joint of the thumb due to sesamoid bone interposition: a case report. J Hand Surg Am, 1995;20:487-489.
  • 8. Salamon PB, Gelberman RH. Irreducible dislocation of the interphalangeal joint of the thumb. J Bone Joint Surg Am, 1978;60:400-401.
  • 9. Verhelle N, Van Ransbeeck HD, De Smet L. Irreducible of the interphalangeal joint of the thumb: a case report. Eur J Emerg Med, 2003;10:347-348.
Fig. 1

Preoperative anteroposterior (A) and lateral (B) X-ray of the thumb show dorsal dislocation of interphalangeal joint and old avulsion fracture of the base of the proximal phalanx.

jkfs-21-165-g001.jpg
Fig. 2

Intraoperative photograph showing extracted palmar plate from interphalangeal joint (forceps). The palmar plate was interposed in the joint still attached to the base of the distal phalanx.

jkfs-21-165-g002.jpg
Fig. 3

Postoperative anteroposterior (A) and lateral (B) X-ray show reduced interphalangeal joint and temporary interphalangeal joint fixation with K-wire.

jkfs-21-165-g003.jpg
Fig. 4

At postoperative 6 months, the anteroposterior (A) and lateral (B) X-ray show good joint space and restoration of articular congruity.

jkfs-21-165-g004.jpg

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        Irreducible Dislocation of the Interphalangeal Joint of the Thumb: A Case Report
        J Korean Fract Soc. 2008;21(2):165-168.   Published online April 30, 2008
        DOI: https://doi.org/10.12671/jkfs.2008.21.2.165
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      Irreducible Dislocation of the Interphalangeal Joint of the Thumb: A Case Report
      Image Image Image Image
      Fig. 1 Preoperative anteroposterior (A) and lateral (B) X-ray of the thumb show dorsal dislocation of interphalangeal joint and old avulsion fracture of the base of the proximal phalanx.
      Fig. 2 Intraoperative photograph showing extracted palmar plate from interphalangeal joint (forceps). The palmar plate was interposed in the joint still attached to the base of the distal phalanx.
      Fig. 3 Postoperative anteroposterior (A) and lateral (B) X-ray show reduced interphalangeal joint and temporary interphalangeal joint fixation with K-wire.
      Fig. 4 At postoperative 6 months, the anteroposterior (A) and lateral (B) X-ray show good joint space and restoration of articular congruity.

      Fig. 1

      Fig. 2

      Fig. 3

      Fig. 4

      Irreducible Dislocation of the Interphalangeal Joint of the Thumb: A Case Report
      J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
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