• J Hand Surg Am · Mar 1989

    Case Reports

    Boxer's knuckle--dorsal capsular rupture of the metacarpophalangeal joint of a finger.

    • M A Posner and L Ambrose.
    • Hand Services Hospital for Joint Diseases Orthopaedic Institute, New York, N.Y.
    • J Hand Surg Am. 1989 Mar 1;14(2 Pt 1):229-36.

    AbstractAn injury to the dorsal aspect of the metacarpophalangeal joint of a finger usually damages the sagittal fibers of the extensor tendon mechanism. Rupture of the underlying joint capsule, a far more serious injury, has received scant attention in the medical literature. The problem is often unrecognized because the extensor tendon may remain in its normal midline position. Eight dorsal capsular ruptures are described in six patients who had closed direct trauma to either the knuckle of their index or long fingers. Most of the injuries occurred in professional boxers.

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