The Impact of a Cricket Ball - Open Dislocation of the Proximal Interphalangeal Joint

Shreya Badhrinarayanan*
Brighton and Sussex Medical School*
During finger extension, axial loads can often cause proximal interphalangeal joint (PIP) dislocations which can result in collateral bond injury, traumatic flexor tendon rupture, and incomplete volar plate injury. If these injuries are neglected or not treated appropriately, they may result in degenerative arthritis, joint pain and instability.
Case Report
A twelve year old Indian boy presented to the Emergency department in a sub-urban Indian hospital while playing cricket with an open PIP joint dislocation of his index finger and a 2 cm deep laceration. This occurred due to the cricket ball forcefully hitting his left hand while he was wicket-keeping without his gloves. Since this was a pediatric case, the patient underwent collateral bond and volar plate fixation with absorbable sutures. Moreover, the use of absorbable rather than non-absorbable sutures prevented granulomas, fibroses and similar complications due to the body’s reaction to foreign materials. There was minimal post-operative scarring and he regained function after a six month rehabilitation period. He experienced no pain, stiffness, or chronic instability post-rehabilitation.
Upon scanning recent literature, there have been no case reports outlining open PIP joint dislocations due to ball hitting. This case report showcases the importance of protective sports equipment in cricket matches in order to prevent serious traumatic injuries.
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