Open dorsal metacarpophalangeal joint dislocations
Case of a 62-year-old man who fell from a height of 10 metres onto his left outstretched hand and presented to the hospital with four open dorsal metacarpophalangeal joint dislocations. Open dorsal metacarpophalangeal joint dislocations are fairly unusual. Based on the available case reports and experience, we suggest addressing this injury intraoperatively with minimal delay. Most cases will be associated with volar plate injury, and we encourage its repair with figure-of-eight stitches. Postoperatively, we suggest a dorsal blocking splint for 2 weeks followed by occupational therapy consisting of passive and active range of motion (ROM) exercises and adjunctive therapies to control edema and optimize scar tissue. Inadequate management of such injuries could be highly detrimental to hand function. Credit: J. Diaz Abele, S. Thibaudeau, M. Luc, Division of Plastic and Reconstructive Surgery, Montreal General Hospital
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