Right thumb injury

H/o of ball hit 2 years ago..now C/O severe pain at MCP joint.experts opinion on management please

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Look for subluxation or instability due to collateral ligament injury Take stress xrays if in doubt Xray need clinical correlation

Subluxation and instability felt..further what management can be done sir..whether to apply thumb spica cast or splint sir?@Dr. Riju N
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Second mcp joint subluxation seen in one of film Needs surgical intervention to repair collateral damage

Need insertion of K-wire insertion after manipulation

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