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At least 1,297 records · Page 72Linked to original sources
PubMed1991

[Traumatic luxation of the extensor apparatus of the dorsum of the metacarpophalangeal joint of the little finger. Six cases].

Dislocation of the extensor tendon over the MP joint as a result of trauma is a rare and unrecognized injury as our six patients were only operated subsequently. The diagnosis is simple: flexion is possible, while extension is not. The patient is able to hold the extension despie resistance if the dislocation is reduced by artificial extension. X-rays eliminate any possible fracture. Six cases have revealed two different assumptions: either the two tendons (extensor digitorum communis and extensor digiti quinti proprius) are simultaneously dislocated together on the ulnar side, or they are dislocated on either sides of the joint. In the first assumption, the injury occurred ulnar-wise tearing the sagittal band. This case concerns the three older patients. The dislocation was reduced and stabilized by the Michon surgery method. The second assumption concerns the three youngest patients who suffered from a direct axial shock. This separation was reduced by suture of the two tendons on the dorsal base of the joint. The postoperative care was ensured in all cases by a splint attached to the palm, keeping the MP joint in extension and enabling immediate web-fingered reeducation. This therapeutic technique has given satisfactory results as over an average period of six years no recurrence of stiffness has been observed.

Female↗
PubMed1988

The modified Kleinert splint in zone II flexor tendon injuries.

The Kleinert controlled passive mobilisation splint has been modified to increase the passive range of motion of the proximal and distal interphalangeal joints to near normal. 12 fingers with complete divisions of both flexor tendons in Zone II treated by this method have been reviewed after six months. Nine regained full motion and two good motion while one, with an associated crush compound fracture of the proximal phalanx, had a poor result. The increased mobilisation did not adversely affect wound healing or associated repair of digital nerves.

Adult↗
PubMedDate not supplied

Joshi External Stabilising System (JESS) in proximal interphalangeal joint (PIP) contractures in leprosy.

The authors present their experience in the use of the JESS (Joshi External Stabilising System) for correction of proximal interphalangeal joint (PIP joint) contracture deformity in 68 fingers. The use of the JESS has made this surgery easier, faster in releasing contractures and it has given better correction than the methods so far used by the same authors, like capsulotomy, local flaps and free skin grafting. The procedure is simple and has no serious side effects; it can be repeated if need be. The JESS is easy to apply, economical, reliable, reusable, well accepted by the patient. Compared to the other distractors made in USA and Europe, the JESS has an added advantage in that it costs so very much less (US $5-10), that our leprosy hospitals can afford it. In our patients, we have achieved full extension in 75% and good extension in 10.3% of the cases. These figures are much better than what was possible, in the past, with local flaps and free skin grafting. With those procedures we had excellent results in only 53% of the cases and poor result in 28%.

Adolescent↗
PubMed1998

[Isolated traumatic dorsal dislocation of the metacarpophalangeal joint of the index finger].

A woman aged 36 sustained a dislocation of the metacarpophalangeal joint of the index finger occurred during a volleyball match. It appeared to be a complex dislocation with entrapment of soft tissue, which is rare. Open reduction with a volar approach gave a good result. The postoperative course was uneventful. Adequate treatment necessitates rapid diagnosis. The herniation of the head of the metacarpal bone through the volar surface precluded closed repositioning. The palmar surgical approach is difficult but gives good anatomical results. The dorsal approach is safer but more laborious. Rapid mobilization is necessary for a good long-term result.

Adult↗
PubMed2004

Adult-onset idiopathic progressive acro-osteolysis with proximal symphalangism.

We experienced a 57-year-old female with adult-onset non-congenital idiopathic acro-osteolysis combined with proximal symphalangism. At the age of 36, she developed severe pain and swelling of the toe base of both feet and underwent Clayton surgery. However, the size of her toes diminished progressively over the 5-year period after surgery. At the age of 41, she suffered pain and swelling of the proximal interphalangeal (PIP) joints of fingers of both hands. These PIP joints became rigid and inflexible. Subsequently, she noticed shortening of the little finger of both hands, followed later by shortening of the index, middle, and ring fingers. At the age of 57, the thumbs began to shorten. Laboratory and endocrinological examinations were not abnormal. Finally, we diagnosed her with acro-osteolysis combined with proximal symphalangism by radiological examination. In this case, previously unreported mutations of the Noggin gene were identified. This is the first case report of adult-onset, non-congenital idiopathic acro-osteolysis combined with proximal symphalangism.

Acro-Osteolysis↗
PubMed1986

An isolated, closed, complex dislocation of the metacarpophalangeal joint of the long finger: a unique case.

A unique case of an isolated, closed, complex metacarpophalangeal (MP) joint dislocation of the long finger is reported. The deep transverse metacarpal ligaments play an integral role in the stability of the metacarpophalangeal (MP) joints because of their firm bilateral attachments to the palmar plate. The partial rupture of this ligament during the course of trauma prevents closed reduction. Essential correction consists of incision of the remaining fibers of the ligamentous connection to the palmar plate.

Child↗
PubMed2004

Isolated complex dislocation of the metacarpophalangeal joint of the third finger.

Two unusual cases of isolated closed complex dislocation of the metacarpophalangeal joint of the third finger are presented. The single most important element preventing reduction was interposition of the volar plate between the proximal end of the phalanx and the head of the metacarpal, but the deep transverse ligament was also intimately involved in the entrapment mechanism. Such dislocations require open reduction as in the two cases presented, and we found the dorsal approach to be simple and effective.

Adult↗
PubMed1989

Rupture of the radial collateral ligament of the metacarpo-phalangeal joint of the index finger: a report of three cases.

We have diagnosed and treated three patients with complete rupture of the radial collateral ligament of the metacarpo-phalangeal joint of the index finger. Rupture of the radial collateral ligament of the metacarpo-phalangeal joint occurs most commonly in the little finger and has not previously been reported in the index finger. Operative treatment is recommended in all cases, due to the significant stresses placed on the radial side of the M.P. joint of the index finger.

Adult↗
PubMed1985

Reference values for metacarpophalangeal joint stiffness in normals.

A new form of microprocessor-controlled arthrograph is described which measures stiffness parameters of the metacarpophalangeal joints of the index, middle, and ring fingers of both hands. The apparatus is simple and quick to use and gives reproducible results. The arthrograph is used to determine the reference limits for stiffness at the middle finger of the right hand in 128 normal subjects. It is found that incorporating information on the subject's finger circumference allows a much improved precision to be achieved, but the precision is not further enhanced by including details of age and sex.

Adolescent↗
PubMed1982

Vascularized autogenous whole joint transfer in the hand--a clinical study.

Nine vascularized autogenous whole joint transfers were employed in the reconstruction of traumatized joints of six male patients ages 6 to 38 years. The proximal interphalangeal joint was involved in four patients, the thumb metacarpophalangeal (MP) joint in two, and the small finger MP joint in one. In five patients, the donor joint came from the foot, and in one patient an MP joint was transferred from a digit that had sustained a more distal amputation. The mean follow-up was 24 months (range 13 to 38). Bony union as well as full radiographic preservation of the articular space has occurred in each case. Four joints were transferred with an open epiphysis and three demonstrated longitudinal growth and an intact epiphyseal plate. The mean range of active motion was 22 degrees/55 degrees. We believe the early results demonstrate the feasibility of this method of joint reconstruction in the young patient.

Adolescent↗
PubMed1987

A tricky trigger finger: a patient with intermittent intrinsic locking of a metacarpophalangeal joint.

A trigger finger is not always caused by a stenosing tenosynovitis, but may rarely be due to an internal derangement of the metacarpophalangeal (MCP) joint. Several different mechanisms may be responsible for this intrinsic joint locking. A patient is described with intermittent locking of an index MCP joint due to an osteophyte tethering the radial accessory collateral ligament. Removal of the osteophyte solved the problem. Awareness of this condition may prevent unnecessary exploration of the proximal pulley and tendon sheath.

Arthritis, Rheumatoid↗
PubMed1981

Radiologic evaluation of synovectomy in rheumatoid arthritis.

The course of radiologic rheumatoid arthritis changes in 14 proximal interphalangeal joints of the fingers, 11 metacarpophalangeal joints and 16 knees that were subjected to synovectomy was compared with non-synovectomized joints that were suitable for matching, according to clinical, laboratory and radiologic criteria. The progression of radiologic involvement was probably not changed by synovectomy.

Adult↗