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Wheeless' Textbook of Orthopaedics
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Metacarpal Joint Injury



  - carpometacarpal fracture dislocation
  - dislocation of MP joint:
          - complex dislocations of the MP joint:
          - simple dislocations of the MP joint:
          - thumb MP joint dislocation
  - metacarpal head frx:
  - metacarpal neck fracture:
  - metacarpal shaft fractures:
  - MP joint locking:
  - rheumatoid arthritis: MP joint
        - MP joint arthroplasty
  - MP collateral ligament injury:
        - injury mechanism: finger is flexed and forced to one side (w/ radial injury, the finger is flexed in an ulnar direction);
        - indications for ORIF:
                - wide displacement of avulsion chip ( > 2-3 mm) on x-ray;
                - if fragment involves > 20% of articular surface;
                - ulnar collateral ligament injuries (or frx) in the little MP joint should be treated more aggressively than injuries involving the other
                        digits because the abductor digiti quinti will pull the digit in an ulnar direction;
        - references:
                - Injury to collateral ligament of the MP joint of a finger.   M. Ischizuki.   J. Hand Surgeryl Vol 13-A. 1988. p 444-448.
                - Operation for collateral ligament ruptures   of the MP joints of the fingers. JM Schubiner and DP Mass.   JBJS Vol 71-B. 1989. p 388-389.  









Original Text by Clifford R. Wheeless, III, MD.