case_images: PMC4627101_01
case_images: Anteroposterior (A) and lateral (B) view radiographs taken at time of injury demonstrate volar thumb metacarpophalangeal joint dislocation.
case_images: icrp-1-005-g001.jpg
case_images: PMC4627101_01_icrp-1-005-g001.jpg
case_images: F0001
case_images: X-rays obtained showed a volar dislocation of the thumb MCP joint. (Figure 1) A digital block was performed and closed reduction was attempted by hyperflexing the thumb MCP joint with a dorsally directed force applied over the volar base of the thumb metacarpal base.
case_images: Anteroposterior (A) and lateral (B) view radiographs at two-week follow up demonstrate maintenance of reduction and congruent thumb metacarpophalangeal joint. At this time, the splint was removed and patient was allowed to begin range-of-motion activities.
case_images: icrp-1-005-g002.jpg
case_images: PMC4627101_01_icrp-1-005-g002.jpg
case_images: F0002
case_images: The patient was maintained in a thumb spica splint postoperatively for 2 weeks (Figure 2) after which flexion-extension exercises were begun.