Metacarpophalangeal dislocation (thumb): Difference between revisions
(Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== {{Hand and finger dislocation types}} ==Diagnosis== ==Management== ==Disposition== ==See Also== *Hand a...") |
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==Background== | ==Background== | ||
*Like other MCP joint dislocations, may be simple or complex | |||
==Clinical Features== | ==Clinical Features== | ||
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==Management== | ==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 | |||
==Disposition== | ==Disposition== | ||
Revision as of 10:53, 1 June 2015
Background
- Like other MCP joint dislocations, may be simple or complex
Clinical Features
Differential Diagnosis
Hand and finger dislocations
- Finger dislocations
- Thumb dislocations
- Hand dislocations
Diagnosis
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