Clinical Outcome of Metacarpophalangeal Joint Dislocation of the Thumb in Children: Case Series of 10 Patients
Abstract Objectives Dislocation of the metacarpophalangeal joint of the thumb in children is an uncommon entity. The aim of this study was to evaluate the clinical outcome of pediatric patients with metacarpophalangeal joint dislocation of the thumb. Patients and Methods Ten pediatric patients wit...
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Veröffentlicht in: | Journal of hand and microsurgery 2016-04, Vol.8 (1), p.013-016 |
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creator | Khursheed, Omar Haq, Ansarul Rashid, Shakir Manzoor, Nazeefa Shiekh, Sarwar Mushtaq, Muzaffar |
description | Abstract
Objectives
Dislocation of the metacarpophalangeal joint of the thumb in children is an uncommon entity. The aim of this study was to evaluate the clinical outcome of pediatric patients with metacarpophalangeal joint dislocation of the thumb.
Patients and Methods
Ten pediatric patients with metacarpophalangeal joint dislocation of the thumb were evaluated. Patients were studied prospectively over a period of 3 years. Parameters studied included patient demographics, type of dislocation, management, and any complications.
Results
Mean age of patients was 6.8 years (range: 3–12 years). Seven patients underwent closed reduction and three patients were managed by open reduction. Of the total 10 patients, excellent results were obtained in 9 patients. One of the patients who reported on the fourth day of trauma and was managed by open reduction had mild joint stiffness with a range of motion of 10 to 40 degrees at final follow-up. None of these patients had infection or instability.
Conclusion
After thorough clinical and radiological examination, closed reduction can be done in incomplete and simple complete dislocations of metacarpophalangeal joint of the thumb. Repeated closed reduction should be avoided in complex complete injuries. Early mobilization is advised to prevent joint stiffness. |
doi_str_mv | 10.1055/s-0035-1571262 |
format | Article |
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Objectives
Dislocation of the metacarpophalangeal joint of the thumb in children is an uncommon entity. The aim of this study was to evaluate the clinical outcome of pediatric patients with metacarpophalangeal joint dislocation of the thumb.
Patients and Methods
Ten pediatric patients with metacarpophalangeal joint dislocation of the thumb were evaluated. Patients were studied prospectively over a period of 3 years. Parameters studied included patient demographics, type of dislocation, management, and any complications.
Results
Mean age of patients was 6.8 years (range: 3–12 years). Seven patients underwent closed reduction and three patients were managed by open reduction. Of the total 10 patients, excellent results were obtained in 9 patients. One of the patients who reported on the fourth day of trauma and was managed by open reduction had mild joint stiffness with a range of motion of 10 to 40 degrees at final follow-up. None of these patients had infection or instability.
Conclusion
After thorough clinical and radiological examination, closed reduction can be done in incomplete and simple complete dislocations of metacarpophalangeal joint of the thumb. Repeated closed reduction should be avoided in complex complete injuries. Early mobilization is advised to prevent joint stiffness.</description><identifier>ISSN: 0974-3227</identifier><identifier>EISSN: 0974-6897</identifier><identifier>DOI: 10.1055/s-0035-1571262</identifier><identifier>PMID: 27616822</identifier><language>eng</language><publisher>United States: Society of Indian Hand & Microsurgeons</publisher><subject>Original ; Original Article</subject><ispartof>Journal of hand and microsurgery, 2016-04, Vol.8 (1), p.013-016</ispartof><rights>Thieme Medical Publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-7598409a391dc3869723e32b8b3e2403f43024e6d0d1c56b7a3cd7cb08c508403</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016973/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016973/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27616822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khursheed, Omar</creatorcontrib><creatorcontrib>Haq, Ansarul</creatorcontrib><creatorcontrib>Rashid, Shakir</creatorcontrib><creatorcontrib>Manzoor, Nazeefa</creatorcontrib><creatorcontrib>Shiekh, Sarwar</creatorcontrib><creatorcontrib>Mushtaq, Muzaffar</creatorcontrib><title>Clinical Outcome of Metacarpophalangeal Joint Dislocation of the Thumb in Children: Case Series of 10 Patients</title><title>Journal of hand and microsurgery</title><addtitle>J Hand Microsurg</addtitle><description>Abstract
Objectives
Dislocation of the metacarpophalangeal joint of the thumb in children is an uncommon entity. The aim of this study was to evaluate the clinical outcome of pediatric patients with metacarpophalangeal joint dislocation of the thumb.
Patients and Methods
Ten pediatric patients with metacarpophalangeal joint dislocation of the thumb were evaluated. Patients were studied prospectively over a period of 3 years. Parameters studied included patient demographics, type of dislocation, management, and any complications.
Results
Mean age of patients was 6.8 years (range: 3–12 years). Seven patients underwent closed reduction and three patients were managed by open reduction. Of the total 10 patients, excellent results were obtained in 9 patients. One of the patients who reported on the fourth day of trauma and was managed by open reduction had mild joint stiffness with a range of motion of 10 to 40 degrees at final follow-up. None of these patients had infection or instability.
Conclusion
After thorough clinical and radiological examination, closed reduction can be done in incomplete and simple complete dislocations of metacarpophalangeal joint of the thumb. Repeated closed reduction should be avoided in complex complete injuries. Early mobilization is advised to prevent joint stiffness.</description><subject>Original</subject><subject>Original Article</subject><issn>0974-3227</issn><issn>0974-6897</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kUtP3DAUhS3UCih0y7LyspuAH7GddIFUhT6oQCBB15bj3CFGiT21HaT--3o0A4JFV7Z0v3OOfQ9CJ5ScUiLEWaoI4aKiQlEm2R46JK2qK9m06t3uzhlTB-hDSo-ESMkJ20cHTEkqG8YOke8m5501E75Zsg0z4LDC15CNNXEd1qOZjH-AMv4VnM_4wqUpWJNd8Bswj4Dvx2XusfO4G900RPBfcGcS4DuIDtKGogTfFgn4nI7R-5WZEnzcnUfo9_dv993P6urmx2X39aqyXDS5UqJtatIa3tLB8ka2inHgrG96DqwmfFWXf9QgBzJQK2SvDLeDsj1prCBFyY_Q-dZ3vfQzDLZkRzPpdXSziX91ME6_nXg36ofwpAWhJY0Xg887gxj-LJCynl2yMJV1QFiSpg1tKaOtpAU93aI2hpQirF5iKNGbknTSm5L0rqQi-PT6cS_4cysFqLZAHh3MoB_DEn1Z1_8M_wEphZre</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Khursheed, Omar</creator><creator>Haq, Ansarul</creator><creator>Rashid, Shakir</creator><creator>Manzoor, Nazeefa</creator><creator>Shiekh, Sarwar</creator><creator>Mushtaq, Muzaffar</creator><general>Society of Indian Hand & Microsurgeons</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160401</creationdate><title>Clinical Outcome of Metacarpophalangeal Joint Dislocation of the Thumb in Children: Case Series of 10 Patients</title><author>Khursheed, Omar ; Haq, Ansarul ; Rashid, Shakir ; Manzoor, Nazeefa ; Shiekh, Sarwar ; Mushtaq, Muzaffar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-7598409a391dc3869723e32b8b3e2403f43024e6d0d1c56b7a3cd7cb08c508403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Original</topic><topic>Original Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khursheed, Omar</creatorcontrib><creatorcontrib>Haq, Ansarul</creatorcontrib><creatorcontrib>Rashid, Shakir</creatorcontrib><creatorcontrib>Manzoor, Nazeefa</creatorcontrib><creatorcontrib>Shiekh, Sarwar</creatorcontrib><creatorcontrib>Mushtaq, Muzaffar</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of hand and microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khursheed, Omar</au><au>Haq, Ansarul</au><au>Rashid, Shakir</au><au>Manzoor, Nazeefa</au><au>Shiekh, Sarwar</au><au>Mushtaq, Muzaffar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Outcome of Metacarpophalangeal Joint Dislocation of the Thumb in Children: Case Series of 10 Patients</atitle><jtitle>Journal of hand and microsurgery</jtitle><addtitle>J Hand Microsurg</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>8</volume><issue>1</issue><spage>013</spage><epage>016</epage><pages>013-016</pages><issn>0974-3227</issn><eissn>0974-6897</eissn><abstract>Abstract
Objectives
Dislocation of the metacarpophalangeal joint of the thumb in children is an uncommon entity. The aim of this study was to evaluate the clinical outcome of pediatric patients with metacarpophalangeal joint dislocation of the thumb.
Patients and Methods
Ten pediatric patients with metacarpophalangeal joint dislocation of the thumb were evaluated. Patients were studied prospectively over a period of 3 years. Parameters studied included patient demographics, type of dislocation, management, and any complications.
Results
Mean age of patients was 6.8 years (range: 3–12 years). Seven patients underwent closed reduction and three patients were managed by open reduction. Of the total 10 patients, excellent results were obtained in 9 patients. One of the patients who reported on the fourth day of trauma and was managed by open reduction had mild joint stiffness with a range of motion of 10 to 40 degrees at final follow-up. None of these patients had infection or instability.
Conclusion
After thorough clinical and radiological examination, closed reduction can be done in incomplete and simple complete dislocations of metacarpophalangeal joint of the thumb. Repeated closed reduction should be avoided in complex complete injuries. Early mobilization is advised to prevent joint stiffness.</abstract><cop>United States</cop><pub>Society of Indian Hand & Microsurgeons</pub><pmid>27616822</pmid><doi>10.1055/s-0035-1571262</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Original Original Article |
title | Clinical Outcome of Metacarpophalangeal Joint Dislocation of the Thumb in Children: Case Series of 10 Patients |
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