medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2012, Number 2

<< Back Next >>

An Med Asoc Med Hosp ABC 2012; 57 (2)

Dorsal dislocation of carpometacarpal joint: Report of three cases

Ayala GU

Language: Spanish
References: 12
Page: 144-148
PDF size: 80.79 Kb.


ABSTRACT

Background: Carpometacarpal dislocations are rare. Most often are caused by blunt high-energy trauma and are combined with carpal or metacarpal fractures. Material and methods: Three patients were seen at the emergency department of the INR from March 2009 to February 2010. X-ray were taken in all cases and a closed reduction was done under regional anesthesia. After reduction all patient’s hands were immobilized. Results: All three patients were male ages 28, 37 and 41. The injury mechanism was blunt trauma to the dorsum of the hand with a flexed wrist in all cases. The attempt of reduction was successful in all cases. Patients were immobilized for seven days and then initiated in a home program of hydrotherapy for two weeks avoiding heavy-lifting. The mean follow-up was 5.5 weeks. Conclusions: Results suggest that an early rehabilitation program following a short period of immobilization is possible in patients with carpometacarpal dislocation that are stable after reduction.


REFERENCES

  1. Green DP. Green’s operative surgery of the hand. 5th edition. Philadelphia. New York: Elsevier; 2007.

  2. Canale ST. Campbell’s operative orthopaedics. 10th Edition. Philadelphia: Mosby; 2003.

  3. Berger R, Arnold-Peter CW. Hand surgery. Philadelphia: Lippincott Williams & Wilkins; 2004.

  4. Maurizio V. Pure isolated dorsal dislocation of the fifth carpometacarpal joint. Musculoskeletal Surg 2009; 93(2): 97-100.

  5. Pérez-Serna AG, Figueroa-Cal y Mayor F. Fractura-luxación carpometacarpiana múltiple. Acta Ortop Mex 2009; 23(3): 149-152.

  6. Tountas AA, Kwork JM. Isolated volar dislocation of the fifth carpometacarpal joint. Case report. Clin Orthop Relat Res 1984; (187): 172-175.

  7. Kasuaki M. Dorsal dislocations of the second to fifth carpometacarpal joints: a case report. Hand Surg 2008; 13(2): 129-132.

  8. Laforgia R, Specchiulli F, Mariani A. Dorsal dislocation of the fifth carpometacarpal joint. Hand Surg Am 1990; 15: 463-465.

  9. Gangloff D, Mansat P, Gaston A, Apredoaei C, Rongières M. Carpometacarpal dislocation of the fifth finger: descriptive study of 31 cases. Chir Main 2007; 26(4-5): 206-213. Epub 2007 Jul 16.

  10. Eichhorn-Sens J, Katzer A, Meenen NM, Rueger JM. Carpo-metacarpal dislocation injuries. Handchir, Mikrochir, Plast Chir 2001; 33(3): 189.

  11. Yoshida R, Shah MA, Patterson RM, Buford WL Jr, Knighten J, Viegas SF. Anatomy and pathomechanics of ring and small finger carpometacarpal joint injuries. J Hand Surg Am 2003; 28(6): 1035-1043.

  12. Nakamura K, Patterson RM, Viegas SF. The ligament and skeletal anatomy of the second through fifth carpometacarpal joints and adjacent structures. J Hand Surg Am 2001; 26(6): 1016-1024.




2020     |     www.medigraphic.com