Complex Metacarpophalangeal Joint Dislocation: A Study on Kaplan Lesion and its Effective Management through the Becton Approach

Dr. Nihal, Dr. Nand Kumar Singh, Dr. Abhishek Sharma, Dr. Saurabh Suman

Abstract: Background: Dislocation of metacarpophalangeal joint of hand is a uncommon injury. They are divided into simple or complex dislocation. Complex metacarpophalangeal joint also called "Kaplan Lesion". Complex dislocation occur most commonly in the index finger. These injuries are irreducible, most often result of volar plate interposition which makes these lesion a must for open reduction. We treated two cases of Kaplan Lesion, one patient 27 years old male and another one 28 years female, both were labour by occupation who were successfully operated by dorsal approach.

Keywords: Kaplan's lesion, Metacarpophalangeal joint, Dorsal approach, Becton approach, volar plate interposition, complex metacarpophalangeal joint dislocation.