Year: 2025
Type: article
Study design: Case Report
Abstract: Kaplan's lesion, a rare complex metacarpophalangeal (MCP) joint dislocation in children, is often requires surgical intervention. The dorsal approach minimizes neurovascular risk, while the volar approach allows volar plate repair. A 10-year-old boy presented with a left index finger MCP dislocation after trauma. Closed reduction failed, and open reduction via a dorsal approach was performed. Intraoperative findings included volar plate interposition and cartilage fracture. Postoperative immobilization and physiotherapy restored full joint motion at six months. Kaplan's lesion is rare in children, requiring careful management to avoid complications like stiffness or growth arrest. The dorsal approach offers effective visualization and safety. Timely surgical intervention ensures successful outcomes in complex MCP dislocations in children.
Source: Clinical Case Reports
DOI: 10.1002/ccr3.71168
Authors: Kushal Khanal, Sunil Chaudhary, Shirish Adhikari, Prawesh Singh Bhandari, Nitish Bikram Deo, Suresh Uprety, Sangit Chhantyal
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,820
Funder: Tribhuvan University
OpenAlex ID: W4414919237