to the editor: Drs. Borchers and Best provide an excellent clinical review of the treatment of common finger fractures and dislocations. However, I believe their recommendations on the treatment of metacarpophalangeal (MCP) dislocation are not entirely correct. Reduction of these dislocations is different than that of proximal interphalangeal or distal interphalangeal dislocations because direct in-line traction may cause entrapment of soft tissues.1 MCP dislocation should be performed with the wrist in slight flexion, with pressure applied at the base of the proximal phalanx to slide the proximal phalanx over the MCP joint (Figure 1). This clarification should help readers avoid any potential complications should they encounter this uncommon dislocation.
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机译：给编辑：博士。 Borchers and Best为常见的手指骨折和脱位的治疗提供了出色的临床评价。但是，我相信他们对掌指关节脱位的治疗建议并不完全正确。这些脱位的减少与近端指间或远端指间脱位的减少不同，因为直接在线牵引可能会导致软组织的包埋。1MCP脱位应在腕部轻微屈曲的情况下进行，在近端基部施加压力指骨使近端指骨滑过MCP关节（图1）。这种澄清应有助于读者避免遇到这种不常见的错位情况而避免任何潜在的并发症。
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