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We read with interest the very rare case report of Lam et al on volar metacarpophalangeal joint dislocation.1
However, the subluxed and locked MCP joint is often confused with a dislocation of the MCP joint. We have seen three similar cases in our department over the past few years.
For example, a 78 year old former miner was referred to us by his general practitioner with a suspected dislocated MCP joint of the left middle finger. He had spontaneously developed pain in the finger two days previously. He was unable to move it. Past medical history included diabetic macular degeneration, myocardial infarction, ruptured aortic aneurysm, and hypertension. He was taking aspirin, …