Open AccessKaplan’s Lesion in a Child: A Case Report
Author(s) -
Abhishek Kumar Thakur,
Nabees Man Singh Pradhan,
Pramod Devkota,
Bidur Gyawali,
Prabhav Majgaiyan Pokhrel
Publication year - 2022
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.7901
Subject(s) - medicine , metacarpophalangeal joint , lesion , reduction (mathematics) , range of motion , dorsum , surgery , presentation (obstetrics) , index finger , radiography , dislocation , case presentation , differential diagnosis , anatomy , thumb , materials science , geometry , mathematics , pathology , composite material
Kaplan's lesion is a rare complex metacarpophalangeal joint dislocation. A 7-year-old female child presented with pain, swelling and inability to move her right index finger. Her mother gave a history of sustaining a fall injury on the same hand around 3 weeks back. Radiographs showed a complex dorsal metacarpophalangeal joint dislocation. As the injury was already 3 weeks old at presentation, a few attempts at closed reduction were tried, under anaesthesia, which was unsuccessful. So, the patient underwent open reduction through a dorsal approach. At a 1-year follow-up, the patient was pain-free and had regained full range of motion of the index finger metacarpophalangeal joint. The differential diagnosis of Kaplan's lesion should be considered when a child presents with finger dislocation.