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Journal of Hand Surgery (British and European Volume)
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Articles

Treatment of Soft Tissue Injuries to the Dorsum of the Metacarpophalangeal Joint (Boxer’s Knuckle)

K. ARAI
S. TOH
K. NAKAHARA
S. NISHIKAWA
S. HARATA

From the Department of Orthopaedic Surgery, Hirosaki University School of Medicine and the Department of Orthopaedic Surgery, Mutsu General Hospital, Aomori, Japan

Correspondence: Dr Satoshi Toh, Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Zaifu-cho-5, Hirosaki, Aomori 036-8562, Japan. E-mail: toh{at}cc.hirosaki-u.ac.jp

We retrospectively reviewed the surgical treatment for 16 cases of traumatic soft tissue injury to the metacarpophalangeal joint (Boxer’s knuckle). A history of trauma was present in all cases and there was an associated extensor tendon dislocation in seven cases. Eight cases were initially treated conservatively, but their symptoms persisted. Intraoperative findings included rupture of the extensor hood or joint capsule in all cases. Surgical closure of the rupture of the joint capsule resulted in a successful outcome in all cases. We consider that conservative treatment of this injury may not be effective when the joint capsule of the metacarpophalangeal joint is ruptured. We recommend arthrography of the metacarpophalangeal joint to assist in the decision as to whether to proceed with surgical or conservative treatment.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 1, 90-95 (2002)
DOI: 10.1054/JHSB.2001.0656
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