Correction of Volar Subluxation Deformities of the Metacarpophalangeal Joints Following a Distal Radius Fracture in a Patient With Systemic Lupus Erythematosus.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 27406321.
- Also identified by DOI 10.1016/j.jhsa.2016.05.017.
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Abstract
Extensor tendon subluxation over the metacarpal head, leading to metacarpophalangeal joint ulnar deviation, is a hand deformity seen in patients with systemic lupus erythematosus. Apart from soft tissue procedures, metacarpal shortening osteotomy is a previously described surgical treatment for this deformity. We present a patient whose fixed deformity was spontaneously corrected after a displaced distal radius fracture. At 1 year, the correction was maintained. We discuss the biomechanical basis behind the phenomenon.
Medical subject headings
- Hand Deformities, Acquired
- Joint Dislocations
- Lupus Erythematosus, Systemic
- Metacarpophalangeal Joint
- Radius Fractures
Anatomy
- hand
- radius