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Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification

Laszlo Dongo, MichaŰl Papalo´zos.


Abstract
Objectives: The purpose of this article was to present two exemplary cases of the disorder known as locked metacarpophalangeal (MCP) joint of long fingers, to review the literature and to recommend the possible surgical approaches based on the involved anatomic structures.
Patients and Results: We recently took care of two patients with locked MCP joint representing the two main etiologies of this disorder. After clinical and imaging investigations both patients were operated. The first patient had a locked intra-articular loose body in the third metacarpophalangeal joint, which was undetectable on MRI. The second had a locking of the accessory collateral ligament behind a radial sided prominence of the second metacarpal head. Both had a satisfactory outcome after surgery.
Conclusion: Left untreated, the locked MCP joint may lead to a flexion contracture. The diagnosis is mainly clinical. The radiographs can show degenerative changes or a particular shape of the metacarpal head/neck as a first clue to the possible cause. A MRI may help to precise the origin of the locking. Gentle closed reduction can be attempted, but surgery is most often required. The surgical approach depends on the presumed localization of the pathology.

Key words: Locking, metacarpophalangeal, joint, long fingers, surgery

 

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How to Cite this Article
Pubmed Style

Dongo L, Papalo´zos M. Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification. Hand Microsurg. 2018; 7(1): 40-44. doi:10.5455/handmicrosurg.250895


Web Style

Dongo L, Papalo´zos M. Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification. http://handmicrosurgeryjournal.com/?mno=250895 [Access: October 21, 2018]. doi:10.5455/handmicrosurg.250895


AMA (American Medical Association) Style

Dongo L, Papalo´zos M. Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification. Hand Microsurg. 2018; 7(1): 40-44. doi:10.5455/handmicrosurg.250895


Vancouver/ICMJE Style

Dongo L, Papalo´zos M. Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification. Hand Microsurg. (2018), [cited October 21, 2018]; 7(1): 40-44. doi:10.5455/handmicrosurg.250895


Harvard Style

Dongo, L. & Papalo´zos, M. (2018) Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification. Hand Microsurg, 7 (1), 40-44. doi:10.5455/handmicrosurg.250895


Turabian Style

Dongo, Laszlo, and MichaŰl Papalo´zos. 2018. Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification. Hand and Microsurgery, 7 (1), 40-44. doi:10.5455/handmicrosurg.250895


Chicago Style

Dongo, Laszlo, and MichaŰl Papalo´zos. “Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification.” Hand and Microsurgery 7 (2018), 40-44. doi:10.5455/handmicrosurg.250895


MLA (The Modern Language Association) Style

Dongo, Laszlo, and MichaŰl Papalo´zos. “Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification.” Hand and Microsurgery 7.1 (2018), 40-44. Print. doi:10.5455/handmicrosurg.250895


APA (American Psychological Association) Style

Dongo, L. & Papalo´zos, M. (2018) Locked metacarpophalangeal joint of long fingers: Clinical presentation, literature review, and a treatment-oriented classification. Hand and Microsurgery, 7 (1), 40-44. doi:10.5455/handmicrosurg.250895