Metacarpophalangeal dislocation (thumb): Difference between revisions
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==Background== | ==Background== | ||
*Also known as the MCP joint | |||
*Like other MCP joint dislocations, may be simple or complex | *Like other MCP joint dislocations, may be simple or complex | ||
Revision as of 11:27, 16 October 2016
Background
- Also known as the MCP joint
- Like other MCP joint dislocations, may be simple or complex
Clinical Features
Differential Diagnosis
Hand and finger dislocations
- Finger dislocations
- Thumb dislocations
- Hand dislocations
Evaluation
Management
- Stable reduction: Immobilize in thumb spica wtih MCP joint in 20 deg flexion for 4wk
- Unstable reduction: ORIF
Reduction
- Radial and median nerve blocks
- Pressure directed distally on base of prox phalanx with metacarpal flexed and abducted