Metacarpophalangeal dislocation (thumb): Difference between revisions
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{{Hand and finger dislocation types}} | {{Hand and finger dislocation types}} | ||
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==Management== | ==Management== | ||
Revision as of 13:09, 24 July 2016
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
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