In contrast to other digits, thumb has only two phalanges. These are joined by interphalangeal joint.
Phalangeal dislocations are not very common.
The dislocation at this joint usually occurs due to a force causing hyperextension of the joint.
The following xray is of a 22 years old man who sustained this injury after he struck his thumb inadvertantly with a moving object.
The dislocation was noted in the interphalangeal joint and was reduced closed.
The reduction was stable ans thumb has been immobilized in the plaster for two weeks.
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