Article
Locked metacarpophalangeal joint – a simple approach
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Published: | February 6, 2020 |
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Objectives/Interrogation: Blocked MP joints have a poor prognosis in the shelf when operated on a palmar access. We report on the pathomechanism and a new simple method of surgery.
Methods: The MP joints, which are mostly blocked at 50 ° flexion, are band structures that stick to a spur of the metacarpal heads. usually this spur is removed via a palmar access. Most patients treated in this way have a very long convalescence period and the results are only moderately good or bad.
Our dorsal access technique is simpler and involves a severing of the trailing fibers.
Results and Conclusions: 6 patients with entrapment MP-jonts could be treated successfully. The convalescence period was very short.
Illustrative cases, literature review and surgical technique.