KAPLAN’S LESION: A CASE REPORT ON THE COMPLEX DISLOCATION OF THE INDEX FINGER IN A WEIGHTLIFTER

Authors

  • Yuvraj Arora Consultant, Department of Orthopaedics, Arora Multispecialty Hospital, Bharatpur, Rajasthan, India
  • Ashutosh Mohapatra Consultant, Department of Orthopaedics, Mohapatra Hospital, Ulhasnagar,421003, India
  • Priyam Choudhury Research Trainee, Department of Radiology, Mayo Clinic, Jacksonville, Florida, United States, 32224
  • Rajat Jangir Associate Professor, Department of Orthopaedics, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.55519/JAMC-03-S1-9709

Keywords:

Fracture Dislocation, Kaplan' Lesion, Complex, Metacarpophalangeal Joint, Rare, Unusual, Dorsal Approach

Abstract

Background: Complex Dislocation of the metacarpophalangeal joint of the hand is a rare and unusual injury. These are also called as Kaplan’s Lesion. They are divided into complex/irreducible and simple/reducible dislocation. Two approaches exist regarding their surgical intervention. We present a case of a 36-year-old weightlifter who presented to us with this uncommon entity and who was successfully treated with a dorsal approach. This case is presented to highlight the occurrence of this dislocation along with a brief discussion on its etiopathogenesis and management.

References

Abele JD, Thibaudeau S, Luc M. Open metacarpophalangeal dislocations: literature review and case report. Hand 2015;10(2):333–7.

Elghoul N, Bouya A, Jalal Y, Zaddoug O, Benchakroun M, Jaafar A. Complex metacarpophalangeal joint dislocation of the litter finger: A sesamoid bone seen within joint. What does it mean? Trauma Case Rep 2019;23:100225.

An MT, Kelley JP, Fahrenkopf MP, Kelpin JP, Adams NS, Do V. Complex Metacarpophalangeal Dislocation. Eplasty 2020;20:ic3.

Türker T, Sheppard JE. Emergency open reduction for an irreducible dislocation of the metacarpophalangeal joint of the thumb in a child. J Hand Microsurg 2015;7(1):166–9.

Silberman WW. Clear view of the index sesamoid: a sign of irreducible metacarpophalangeal joint dislocation. JACEP 1979;8(9):371–3.

Light TR, Ogden JA. Complex dislocation of the index metacarpophalangeal joint in children. J Pediatr Orthop 1988;8(3):300–5.

Chitnis SS, Chitnis SL. Indication for CT following index finger metacarpophalangeal joint dislocation - A case report. Trauma Case Rep 2018;18:31–6.

Dinh P, Franklin A, Hutchinson B, Schnall SB, Fassola I. Metacarpophalangeal joint dislocation. J Am Acad Orthop Surg 2009;17(5):318–24.

Andersen JA, Gjerløff CC. Complex dislocation of the metacarpophalangeal joint of the little finger. J Hand Surg Br 1987;12(2):264–6.

Pereira JM, Quesado M, Silva M, Carvalho JDD, Nogueira H, Alves J. The Lateral Approach in the Surgical Treatment of a Complex Dorsal Metacarpophalangeal Joint Dislocation of the Index Finger. Case Rep Orthop 2019;10:1063829.

Sumarriva G, Cook B, Godoy G, Waldron S. Pediatric Complex Metacarpophalangeal Joint Dislocation of the Index Finger. Ochsner J 2018;18(4):398–401.

Durakbasa O, Guneri B. The volar surgical approach in complex dorsal metacarpophalangeal dislocations. Injury 2009;40(6):657–9.

Vadala CJ, Ward CM. Dorsal Approach Decreases Operative Time for Complex Metacarpophalangeal Dislocations. J Hand Surg Am 2016;41(9):e259–62.

Kodama A, Itotani Y, Mizuseki T. Arthroscopic reduction of complex dorsal metacarpophalangeal dislocation of index finger. Arthrosc Tech 2014;3(2):e261–4.

Boden RA, Cavale N, Fleming AN. Kaplan's puckering sign in complex dorsal dislocation of the metacarpophalangeal

Published

2022-06-24