Metacarpophalangeal dislocation (thumb): Difference between revisions
m (Rossdonaldson1 moved page Metacarpophalangeal (MCP) dislocation (thumb) to Metacarpophalangeal dislocation (thumb)) |
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==Clinical Features== | ==Clinical Features== | ||
*Thumb pain/deformity | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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
- Thumb pain/deformity
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