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INTERPOSITION OF SESAMOIDS IN METACARPOPHALANGEAL DISLOCATIONS
P. DAVID NUTTER
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DETROIT, MICHIGAN
1940 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1940; 22:730-734 
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Abstract

1. Interposition of sesamoids in metacarpophalangeal dislocations frequently adds to the difficulty of reduction of these dislocations.

2. When the interposition of sesamoids is present an attempt should first be made to replace these bones in their normal positions by moderate traction on the fingers and rotation of the phalanges medialward to lateralward several times before reduction of the dislocations is tried.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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