Dislocation of the Extensor Tendons at the Level of the Metacarpophalangeal Joint

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Journal of the Korean Society for Surgery of the Hand 2003;8(4):148-152.
Published online December 1, 2003.

Ho-Jung Kang, Suk-Won Yong, Dong-Joon Shim, Soo-Bong Hahn, Eung-Shick Kang

수부 신전건의 중수지 관절부 탈구

강호정, 용석원, 심동준, 한수봉, 강응식

Abstract

Purpose
To present our operative experiences in uncommon dislocation of the extensor tendons at the level of metacarpophalangeal joint Materials and Methods: Eight cases which were followed up for an average 11.6 months (range, 6 to 24 months) were reviewed. The causes were traumatic dislocation in 5 cases, spontaneous dislocation in 2 cases and dislocation in rheumatoid arthritis in 1 case. The location was index finger in 1 case, long finger in 3 cases, ring finger in 1 case, little finger in 3 cases. Six cases were dislocated to ulnar side and 2 cases to radial side. Result: All cases were operated; repair of intertendinous fascia in 1 case, repair of sagittal band in 2 cases, repair of sagittal band with intertendinous connection transfer in 2 cases, plication procedure in 2 cases and loop procedure in 1 case. Recurrent dislocation was not found except 1 case that did not have enough immobilization. Conclusion: Good results were made from operative treatment of dislocation of the extensor tendons at the level of metacarpophalangeal joint.

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