Name of the Procedure:

Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia
Common name: Finger joint relocation without anesthesia

Summary

This procedure involves manually realigning a dislocated metacarpophalangeal (MCP) joint, which is where the hand connects to the finger, without the use of anesthesia.

Purpose

The procedure aims to correct a dislocated MCP joint, restoring proper alignment and function to the affected finger. This helps in alleviating pain, improving finger movement, and preventing further complications.

Indications

• Visible deformity of the affected finger
• Severe pain and swelling at the MCP joint
• Limited or no movement at the dislocated joint
• Injury or trauma to the hand leading to joint misalignment

Preparation

• Typically, minimal preparation is required.
• The healthcare provider may assess the injury with an X-ray to confirm the dislocation and rule out fractures.

Procedure Description

1. The patient is seated or lying down comfortably.
2. The doctor explains the procedure and may offer reassurance.
3. The healthcare professional holds the dislocated finger and gently manipulates it back into its normal position.
4. Once the joint is realigned, the finger may be splinted or taped to adjacent fingers for support and healing.

Duration

The procedure usually takes a few minutes.

Setting

The procedure is generally performed in an outpatient clinic or emergency room.

Personnel

• A qualified healthcare professional, such as an orthopedic specialist or an emergency room physician.
• A nurse or medical assistant may assist.

Risks and Complications

• Pain during the manipulation
• Swelling or bruising post-procedure
• Potential for recurrent dislocation or instability
• Rarely, damage to surrounding ligaments, tendons, or nerves

Benefits

• Immediate relief from pain and deformity
• Restoration of finger alignment and function
• Prevents long-term joint issues

Recovery

• The patient may need to wear a splint or buddy tape the finger for a few weeks.
• Avoid heavy lifting or strenuous activities with the hand for a recommended period.
• Follow-up appointments may be scheduled to ensure proper healing.

Alternatives

• Surgical intervention, if non-invasive methods fail
• Use of local anesthesia if pain is intolerable during the procedure
• Physical therapy post-reduction to strengthen and stabilize the joint

Patient Experience

• The patient might feel discomfort or brief pain during the manipulation.
• Post-procedure, mild pain, and swelling are common but can be managed with ice packs and over-the-counter pain relievers.
• Gloves, padding, or wraps may be used for added comfort during recovery.