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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
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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/)

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