Download PDF
CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(01): e056-e059
DOI: 10.1055/s-0043-1769606
Case Report

Blocked Volar Dislocation of the Metacarpophalangeal Joint of the Thumb: Open Reduction with the WALANT Technique

Article in several languages: español | English
Beatriz Hernández González 
1   Servicio de Cirugía Ortopédica y Traumatología del Complejo Hospitalario Universitario de Vigo Vigo, Pontevedra, Spain
,
Patricia Balvís Balvís
1   Servicio de Cirugía Ortopédica y Traumatología del Complejo Hospitalario Universitario de Vigo Vigo, Pontevedra, Spain
,
Constantino Iglesias Núñez
1   Servicio de Cirugía Ortopédica y Traumatología del Complejo Hospitalario Universitario de Vigo Vigo, Pontevedra, Spain
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

We present the clinical case of a patient with a volar dislocation of the metacarpophalangeal joint (MCP) of the thumb in the left hand. The severe associated joint instability resulting from the rupture of the ulnar collateral ligament (UCL) and soft tissue interposition required an open reduction. For surgical revision, we used the WALANT technique, an anesthetic technique for upper limb surgeries showing significant advantages over the usual techniques.

Keywords

dislocation - volar - metacarpophalangeal - thumb - ulnar collateral ligament - WALANT


Publication History

Received: 25 January 2021

Accepted: 01 February 2023

Article published online:
07 June 2023

© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referencías

  • 1 Yüksel S, Adanır O, Beytemur O, Gülec MA. Volar dislocation of the metacarpophalangeal joint of the thumb: A case report. Acta Orthop Traumatol Turc 2017; 51 (04) 352-354 DOI: 10.1016/j.aott.2017.03.014.
    CrossrefPubMedGoogle Scholar
  • 2 Potini VC, Sood A, Sood A, Mastromonaco E. Volar dislocation of the thumb metacarpophalangeal joint with acute repair of the ulnar collateral ligament. Case Reports Plast Surg Hand Surg 2014; 1 (01) 5-7
    CrossrefPubMedGoogle Scholar
  • 3 Lied L, Borchgrevink GE, Finsen V. Wide Awake Hand Surgery. J Hand Surg Asian Pac Vol 2017; 22 (03) 292-296
    CrossrefPubMedGoogle Scholar
  • 4 Lalonde DH, Wong A. Dosage of local anesthesia in wide awake hand surgery. J Hand Surg Am 2013; 38 (10) 2025-2028 DOI: 10.1016/j.jhsa.2013.07.017.
    CrossrefPubMedGoogle Scholar
  • 5 Lalonde D, Eaton C, Amadio P, Jupiter J. Wide-awake Hand and Wrist Surgery: A New Horizon in Outpatient Surgery. Instr Course Lect 2015; 64: 249-259
    PubMedGoogle Scholar
  • 6 Beck JD, Klena JC. Closed reduction and treatment of 2 volar thumb metacarpophalangeal dislocations: report of 2 cases. J Hand Surg Am 2011; 36 (04) 665-669 DOI: 10.1016/j.jhsa.2010.12.006.
    CrossrefPubMedGoogle Scholar
  • 7 O'Neill N, Abdall-Razak A, Norton E. et al. Use of Wide-Awake Local Anaesthetic No Tourniquet (WALANT) in upper limb and hand surgery: A systematic review protocol. Int J Surg Protoc 2020; 20: 8-12
    CrossrefPubMedGoogle Scholar
  • 8 Maliha SG, Cohen O, Jacoby A, Sharma S. A Cost and Efficiency Analysis of the WALANT Technique for the Management of Trigger Finger in a Procedure Room of a Major City Hospital. Plast Reconstr Surg Glob Open 2019; 7 (11) e2509
    CrossrefPubMedGoogle Scholar