Interphalangeal joint dislocation

Case contributed by A.Prof Frank Gaillard

Presentation

Deformed finger following a motor bike accident.

Patient Data

Age: 30 years
Gender: Male
Modality: X-ray

The proximal interphalangeal joint of the middle finger is dislocated, with the middle phalanx lying dorsal and lateral to the proximal phalanx. A small sliver of bone is seen on the palmar aspect of the head of the proximal phalanx consistent with a small avulsion fracture. The head of the proximal phalanx appears to project through the skin, consistent with an open injury. 

Modality: Annotated image

Avulsion fracture (blue arrow) from the base of the middle phalanx is noted, involving only a small amount of the articular surface (yellow arrow). The head of the proximal phalanx appears to projects through the soft tissues of the volar aspect of the finger (red arrow) with air seen in the soft tisses on AP projection (green arrow). 

Case Discussion

Typical appearances of an interphalangeal joint dislocation with an associated small volar avulsion fracture. Protrusion of the phalanx through the skin is unusual and is in keeping with the high impact mechanism of the injury. 

PlayAdd to Share

Case Information

rID: 9154
Case created: 20th Mar 2010
Last edited: 24th Nov 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.