Treatment for the recurrent case of locking of the metacarpophalangeal joint of the thumb: A case report

Sara Sugiura; Yasuhiro Seki; Shinichi Shirasawa

doi:10.1016/j.jos.2023.07.009

Treatment for the recurrent case of locking of the metacarpophalangeal joint of the thumb: A case report

J Orthop Sci. 2023 Jul 26:S0949-2658(23)00198-7. doi: 10.1016/j.jos.2023.07.009. Online ahead of print.

Authors

Sara Sugiura¹, Yasuhiro Seki², Shinichi Shirasawa²

Affiliations

¹ Department of Orthopedic Surgery, Suwa Central Hospital, Nagano, Japan. Electronic address: saranov20@gmail.com.
² Department of Orthopedic Surgery, Suwa Central Hospital, Nagano, Japan.

PMID: 37507318
DOI: 10.1016/j.jos.2023.07.009

Abstract

Background: Locking of the metacarpophalangeal (MP) joint of the thumb is a rare condition caused by hyperextension injury. Cases are treated by closed reduction, but open reduction is occasionally required.

Case presentation: Herein, we report a recurrent case of locking of the MP joint. Closed reduction was successful for treatment of the first injury but unsuccessful for the second injury, and open reduction was performed. At the operation for the second injury, we observed a transverse groove on joint cartilage of the metacarpal head.

Conclusion: In recurrent cases, we should assume the possibility of failure of closed reduction and prepare for open reduction.

Keywords: Open reduction; Thumb locking; Thumb metacarpophalangeal joint.

Publication types

Case Reports