- Rehabilitation Program. Finger metacarpophalangeal (MCP) joint collateral ligament sprains should not be overtreated. First-degree sprains may require a brief period of protection, usually consisting of buddy taping for 2-3 weeks.
- Surgical Intervention. After open reduction surgical repair, postoperative immobilization and therapy are similar to those that are recommended after closed reduction.
- Consultations. Immediate consultation with an orthopedic or hand surgeon is indicated for open or irreducible dislocations or when neurovascular compromise of the digit is present.
How do you fix a dislocated MCP joint?
The MCP joint can become dislocated in accidents involving the hands, requiring casting and/or surgical intervention. Immobilization of the said joint should not be prolonged; otherwise the functionality of the hand will be affected. Splints can also be used, as they will maintain the joint in a correct position.
What is the treatment for hyperextension of the MCP joint?
Finger MCP joint hyperextension injuries may be treated by gently flexing the proximal phalanx and immobilizing the MCP joint in 30° of flexion for 2-3 weeks.
What are the treatment options for metacarpophalangeal joint dislocation?
Metacarpophalangeal Joint Dislocation Treatment & Management 1 Rehabilitation Program. Finger metacarpophalangeal... 2 Surgical Intervention. After open reduction surgical repair, postoperative immobilization... 3 Consultations. Immediate consultation with an orthopedic or hand surgeon is indicated... 4 After the appropriate immobilization...
When is surgery indicated for finger MCP joint complex dislocation?
In finger MCP joint collateral ligament injuries, surgical repair is indicated for gross instability (third-degree sprain) or a significantly displaced or rotated avulsion fracture. MCP joint complex dorsal dislocations require open reduction in the operating room.
How do you fix a dislocated MCP joint?
Proper technique of a closed reduction of a simple MCP dislocation should involve flexion of the wrist and interphalangeal joints to reduce tension on the flexor tendons during relocation. The dislocated MCP joint should then be hyperextended to 90 degrees.
What happens if a dislocated finger goes untreated?
Although a common injury, finger dislocations that are not treated properly can result in chronic pain, stiffness, poor function, and deformity. A dislocated finger is usually painful, swollen, red, visibly crooked, may be numb or tingling, and may be difficult to move.
What is MCP dislocation?
MCP Dislocations are a dislocation of the metacarpophalangeal joint, usually dorsal, caused by a fall and hyperextension of the MCP joint.
How do you immobilize an MCP joint?
The best position in an orthosis for the injured hand with oedema is with the MCP joints positioned in flexion and the PIP and DIP joints positioned in extension. The wrist should be in extension (20-30 degrees) and the thumb in wide abduction and slight IP flexion, in front of the index finger.
How do you put a dislocated finger back in place?
Put your hand with the affected finger on top of your good hand. Use the thumb and fingers of your good hand to grasp below the middle joint of your affected finger. Bend and then straighten the last two joints of your affected finger. Repeat 8 to 12 times.
Can a dislocated finger heal itself?
These injuries normally heal by themselves with time; you will be given an appointment to return to the fracture clinic for follow up if needed. If the injured joint continues to repeatedly dislocate, contact the fracture clinic straight away.
How do you stop a thumb MCP dislocation?
Apply distal pressure either on the volar base of the distal phalanx (for IP dislocations) or on the proximal phalanx (for MCP dislocations). Achieve reduction by moving the dislocated joint into a position of relative extension without hyperextending the joint.
What is the difference between a subluxation and a dislocation?
Dislocation is injury to a joint that causes adjoining bones to no longer touch each other. Subluxation is a minor or incomplete dislocation in which the joint surfaces still touch but are not in normal relation to each other.
How do you treat a dislocated thumb?
Put ice or a cold pack on your thumb for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice and your skin. Prop up your hand on a pillow when you ice it or anytime you sit or lie down.
How do you treat MCP joint pain?
How is Metacarpophalangeal (MCP) Joint Arthritis Treated?Activity modification or hand therapy.Anti-inflammatory medications (oral or steroid injections)Cortisone injections (if medication fails)Simple splinting or flexible strapping.Topical skin creams.
How do you tape a MCP joint?
0:115:10MCP Joint Taping | How to Tape Your Sprained Finge - YouTubeYouTubeStart of suggested clipEnd of suggested clipWe're anchoring right across the whole hands here again pinch in there. And then starting over. SoMoreWe're anchoring right across the whole hands here again pinch in there. And then starting over. So anchor then then put a couple more anchors up into the finger. So what's going to hide. Here.
How do you tape a MCP joint thumb?
0:143:05Thumb Sprain Taping for MCP joint - YouTubeYouTubeStart of suggested clipEnd of suggested clipAnd this is to protect this area and this joint. Here. So we're going to use our anchor so againMoreAnd this is to protect this area and this joint. Here. So we're going to use our anchor so again like everything over when we use an anchor we don't put any tension on the part on the tape.
How do you know if you have MCP arthritis?
Signs and Symptoms. MCP joint arthritis may cause pain, loss of motion, and swelling. These changes often come on gradually and may not be noticed right away. These symptoms may feel worse when gripping or grasping, such as when turning a key or opening a jar.
How to treat a sprained finger?
There are many treatments available depending on the amount of pain and loss of function. Oral medication can be very helpful in relieving pain. Sometimes steroid injections into the jointcan help. Other options include: 1 Skin creams 2 Heat or ice 3 Splints 4 Supports, such as buddy strapping two fingers together
What is the term for a broken bone that extends into the joint?
Osteoarthritis, which is routine wear and tear. After an injury, which could include a broken bone where the crack extends into the joint. Certain medical conditions ( rheumatoid arthritis, gout and pseudogout, psoriasis, etc.) Infections, often after a cut, puncture or animal bites where bacteria are introduced into the joint ...
What is the most common type of MCP joint dislocation?
Dorsal dislocations are the most common type of MCP joint dislocations. When attempting to reduce a dorsal MCP joint dislocation, do not use distal traction; risk converting simple dislocation to a complex one. In general, complex dorsal and volar MCP joint dislocations require surgery. Continue Reading.
What finger is MCP dislocation?
Usually occurs in index finger, thumb, or 5th finger. Nearly always a single digit, but multiple digits may be involved.
What is MCP in physiology?
Basics. The metacarpophalangeal (MCP) joints are relatively stable joints, especially in flexion. Stability is provided by collateral ligaments on either side of the joint and the volar plate. The collateral ligaments are lax in extension and taut in flexion. The volar plate has a firm distal attachment to the proximal phalanx ...
Is surgery necessary for a dorsal dislocation?
Surgery is often necessary for reduction, specifically for the complex dorsal and volar dislocations, as discussed above, and may be indicated for repair of severely damaged structures in other forms of dislocation (ie, complete tear of UCL or RCL in lateral MCP joint dislocation).
What happens if you dislocate your MCP joint?
Damage to the ligaments surrounding the MCP joint are typically problematic. It is this damage that leads to dislocation in the first place. The farther the joint dislocates, greater the risk of damaging peripheral nerves that run through the hand. Damage to these nerves can lead to chronic pain that requires rehabilitation or medication.
How long after dislocation can you be immobilized?
While surgery is unusual, most patients will still be immobilized for several weeks after the procedure.
Why is it rare to have a dislocation?
These injuries are relatively rare because the joints are protected by ligaments, tendons, and bones in the immediate area. This restricts the movement of the joint, helping to prevent injury; however, there are situations where abrupt trauma to the area can cause a dislocation. In an auto accident, it is possible that someone could have a tight grip on something (such as a steering wheel) at the time of impact. If the rest of the hand travels forward while the thumb or finger are restrained by the steering wheel, this can stretch the ligaments of the metacarpophalangeal joint, leading to a dislocation.
What is a dislocated joint?
With enough force, one of the bones can be moved out of place so that it no longer is in proper contact with the other bone of the joint. This now represents a dislocated joint. Any of the three joints (or knuckles) in a finger may be dislocated, though the middle knuckle is most common.
What is finger joint dislocation?
Finger Joint Dislocation involves a bone in the finger being put out of the joint. A normal finger joint has the curved ends of two bones moving against each other, with a smooth layer of cartilage on each side to allow easy and pain-free motion.
How to get finger joint back in place?
A Finger Joint Dislocation that is not diagnosed early becomes harder to put back in place just by pulling on it the finger. Even a delay of a few days causes the Finger Joint Dislocation to become stuck out of place. Surgery is then required to expose the joint and put ...
How to tell if your finger is dislocated?
Symptoms of Finger Joint Dislocation. Pain and swelling are common. The finger generally looks deformed or crooked, with a bulge often visible on top of the finger. The dislocated finger is typically difficult and painful to bend, since the bones of the joint are no longer in correct alignment with each other.
Why does my MCP joint hurt?
Another common cause of MCP joint pain is osteoarthritis, which is an inflammatory condition as well. This is often favored by the repetitive usage of the MCP joints, with the breakdown of cartilage being a common occurrence. If the cartilage is no longer intact, the joint is not properly protected and lubricated.
What causes MCP pain?
Physical Injuries. Physical injuries, especially fractures, can cause MCP joint pain, requiring immediate intervention. Depending on the severity of the fracture, one might require casting or surgical correction. Open fractures are even more severe, presenting a high risk of infection.
Why does my metacarpophalangeal joint hurt?
The metacarpophalangeal joint pain is a common occurrence, due to the fact that the respective joints are used quite a lot and, thus, present a higher risk for the common wear and tear. The aging process, as well as a number of medical conditions can favor the appearance of MCP joint pain.
What is joint repair?
Joint repair – This is recommended in the situation one suffers from arthritis or joint dislocation /fracture; the realignment of the joint will ensure pain relief and an improvement of hand function. Joint replacement – Often performed for joints that have been damaged by the severe inflammation.
What happens if cartilage is not properly protected?
If the cartilage is no longer intact, the joint is not properly protected and lubricated. As the bones will grind on one another, pain and inflammation will appear as common symptoms. Once again, depending on the severity of the condition, the patient might be prevented from fully functioning.
What is the purpose of a MCP?
The main purpose is to diagnose the underlying condition and recommend a course of treatment that will solve the MCP joint pain.
Is metacarpophalangeal joint pain the same as gout?
The condition is similar to gout, with the inflammation and pain being caused by the excess accumulation of crystal deposits. The risk of metacarpophalangeal joint pain caused by pseudogout is considerably higher in older people.
