Open Multiple Volar Fractures-dislocations of the Metacarpophalangeal Joints: Case Report and Review of Literature

Open multiple volar fractures-dislocations of metacarpophalangeal (MCP) joints are exceptional and rarely reported in literature. The presumed mechanism is forced hyperextension of MCP joint, associated with active flexion. It is a functional emergency of the hand that requires reduction and stabilization. An early and well conducted rehabilitation program allows controlling edema and avoiding stiffness of the MCP joints.

Through this paper we report the case of a 53-year-old right-handed man with open multiple volar fractures-dislocations of three long fingers. We aim to highlight the importance of an early debridement with a good reduction and stabilization of the fracture-dislocation, followed by a well conducted rehabilitation program which are the only guarantor of a good functional recovery.