Concurrent Dorsal Dislocations and Fracture-Dislocations of the Index, Long, Ring, and Small (Second to Fifth) Carpometacarpal Joints

2001 ◽  
Vol 15 (8) ◽  
pp. 549-554 ◽  
Author(s):  
Laura J. Prokuski ◽  
W. Andrew Eglseder
Keyword(s):  
Carpometacarpal Joints ◽  
Fracture Dislocations

Closed Reduction and Percutaneous Pinning in Fracture-Dislocations of Carpometacarpal Joints

2001 ◽  
Vol 36 (3) ◽  
pp. 199 ◽  
Author(s):  
Seung Ju Jeon ◽  
Hyung Ku Yoon ◽  
Kang Woo Jung ◽  
Yong Jae Lee ◽  
Kyoung Sun Noh
Keyword(s):  
Closed Reduction ◽  
Percutaneous Pinning ◽  
Carpometacarpal Joints ◽  
Fracture Dislocations

Operative Treatment in Fracture-Dislocations of Carpometacarpal Joints

2005 ◽  
Vol 18 (4) ◽  
pp. 443 ◽  
Author(s):  
Jae Yeol Choi ◽  
Hun Kyu Shin ◽  
Kyung Mo Son ◽  
Chun Suk Ko
Keyword(s):  
Operative Treatment ◽  
Carpometacarpal Joints ◽  
Fracture Dislocations

Fracture-dislocations of all five carpometacarpal joints: A case report

1985 ◽  
Vol 10 (1) ◽  
pp. 76-78 ◽  
Author(s):  
T.G. Bergfield ◽  
T.E. DuPuy ◽  
P.L. Aulicino
Keyword(s):  
Case Report ◽  
Carpometacarpal Joints ◽  
Fracture Dislocations

Fracture-Dislocations of Carpometacarpal joints excluding thumb: A case report

1999 ◽  
Vol 12 (1) ◽  
pp. 166
Author(s):  
Hyung Ku Yoon ◽  
Ho Seung Jeon ◽  
Kye Nam Cho ◽  
Hong Gweon Han
Keyword(s):  
Case Report ◽  
Carpometacarpal Joints ◽  
Fracture Dislocations

An Uncommon Presentation of Fracture-dislocation of the 4th and 5th Carpometacarpal Joints with Volar Displacement and its Management

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Nikhil Jawaharlal ◽  
Vasanthakumar Ramsingh ◽  
Vijaya Bhalaik
Keyword(s):  
Kirschner Wire ◽  
Fracture Dislocation ◽  
Carpometacarpal Joint ◽  
Carpometacarpal Joints ◽  
Kirschner Wire Fixation ◽  
Joint Fracture ◽  
Satisfactory Outcome ◽  
Uncommon Presentation ◽  
Fracture Dislocations ◽  
Poor Outcomes

Introduction: Carpo-metacarpal joint fracture-dislocations are rare injuries. They constitute less than 1% of all hand injuries [1]. They often go unnoticed [2]. Of these, dorsal fracture-dislocations on the ulnar side are more commonly seen [3] because of the greater stabilizing dorsal structures. Volar fracture-dislocations are very rare and difficult to diagnose for which, one should have a keen eye on. Case Report: This is a case of a 51-year-old female with a closed injury to her wrist. With clinical suspicion and appropriate radiographs fracture-dislocation of the 4th and 5th carpometacarpal joints with volar displacement was diagnosed. She underwent closed reduction and percutaneous Kirschner wire fixation, followed by 6 weeks of immobilization. At the final follow-up in 4 months, the patient was noted to have a satisfactory outcome following intense physiotherapy. Conclusion: Fourth and fifth carpometacarpal joint fracture-dislocations of the fingers are unique; their diagnosis can be challenging and often overlooked [4], which if missed can have very poor outcomes. The functional prognosis depends on the precocity of diagnosis and appropriate reduction and vigorous rehabilitation. Keywords: Carpometacarpal joint, fracture-dislocation, volar displacement, wrist injury.

scholarly journals Surgical Treatment for Delayed Ulnar Carpometacarpal Fracture–Dislocations

2019 ◽  
Vol 09 (03) ◽  
pp. 235-239
Author(s):  
Jiro Kato ◽  
Masaya Tsujii ◽  
Yukie Kitaura ◽  
Akihiro Sudo
Keyword(s):  
Surgical Treatment ◽  
Grip Strength ◽  
Delayed Diagnosis ◽  
Fracture Dislocation ◽  
Unaffected Side ◽  
Carpometacarpal Joints ◽  
Early Motion ◽  
Hand Grip ◽  
Fracture Dislocations ◽  
Missed Diagnosis

Background Fracture and dislocations of the carpometacarpal (CMC) joints except the thumb are relatively rare. Herein, we report the case of a delayed fracture–dislocation of fourth and fifth carpometacarpal joints. Case Description The patient is a 41-year-old, right-handed male. To improve the complaints, such as decreased motion, reduced grip strength, and cosmetic appearance, surgical treatment surgically performed with resection of scar tissues and fixation using suture button at 11 weeks after injury. Movement began at 2 weeks after the surgery, which resulted in satisfactory appearance and good function of 92 and 101% of the motion of the unaffected side of the fifth CMC joint and grip strength, respectively. Literature Review Missed diagnosis can cause impairment of function including grip strength and range of motion. Nevertheless, a few previous studies reported that patients with delayed diagnosis did not need further treatment because of less functional loss and less improvement. Clinical Relevance The surgical treatment using the implant allowed early motion from 2 weeks after surgery which resulted in good motion of the ulnar CMC joints as well as increased hand grip.

Various Diagnostic and Treatment Pitfalls of Combined Fracture Dislocations of Trapezoid and Multiple Carpometacarpal Joints

Hand Surgery ◽  
2015 ◽  
Vol 20 (02) ◽  
pp. 325-329 ◽  
Author(s):  
Makoto Motomiya ◽  
Yasushi Tazaki ◽  
Norimasa Iwasaki
Keyword(s):  
Clinical Result ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Anatomical Reduction ◽  
Carpometacarpal Joints ◽  
Good Clinical Result ◽  
Fracture Dislocations ◽  
Intercarpal Fusion

We report a rare case of combined fracture dislocations of the trapezoid and multiple carpometacarpal joints that became chronic due to inappropriate treatments. Although an acceptable clinical result was obtained with limited intercarpal fusion, correct diagnosis and initial treatments including anatomical reduction and fixation for obtaining a good clinical result, are important for complex trapezoid injury.

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