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Acta Médica del Centro

ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"
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2012, Number 2

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Acta Med Cent 2012; 6 (2)

Volar dislocation of carpometacarpal joints: report of a patient

Castillo OGJ, Morales PR, Báez AD
Full text How to cite this article

Language: Spanish
References: 7
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PDF size: 69.34 Kb.


Key words:

carpometacarpal joints, dislocations/radiography, volar plate/surgery.

ABSTRACT

The case of a young man who suffered trauma at the right wrist is reported. He was treated at the Emergency Department of Orthopedics and Traumatology of the Arnaldo Milian Castro Provincial University Hospital in Santa Clara, Villa Clara. The wrist radiographs, in anteroposterior and lateral views, showed a volar dislocation of the metacarpophalangeal joints, of all the spokes without associated fractures. It required emergency treatment in the surgical unit. An open reduction was performed under general anesthesia through a volar approach. The patient spent six weeks with immobilization, and later underwent rehabilitative physical therapy. The evolution was favorable. This case is published with the intention of demonstrating that despite the rarity of these injuries they are treatable and that an effective emergency treatment is required for a successful evolution.


REFERENCES

  1. Varona O, Cortes R, Schnitman M, Búlfaro C, Pataro S. Lesiones traumáticas graves del carpo. Rev Asoc Argent Ortop Traumatol. 1990 Abr-May;55(1):75-101.

  2. Vázquez MF, Briseño J, Tovar O, Esquivel N. Artrodesis trapecio metacarpiana: Evaluación funcional global de la mano. Acta Ortop Mex. 2011 Nov-Dic;25(6):372-5.

  3. Fuentes S, Franco M, Torres R. El carpo: sus mediciones radiográficas en población mexicana sana de 20 a 70 años de edad. Cir Ciruj. 2006;74:457-62.

  4. Padilla F. Aplicaciones de la osteosíntesis en la cirugía de mano. Medigraphic Artemisa [Internet]. 2006 Ene-Mar [citado 3 Ene 2012];2(1):[aprox. 10 p.]. Disponible en: http://www.medigraphic.com/pdfs/orthotips/ot-2006/ot061c.pdf

  5. Lamas C, Proubasta I, Cortés S, Carrera I. Reducción abierta y fijación interna de una luxación perilunar inveterada. Trauma Fund MAPFRE. 2008;20(1):42-4.

  6. Pérez AG, Figueroa MF. Fractura-luxación carpometacarpiana múltiple. Acta Ortop Mex. 2009;23 (3):149-52.

  7. Villalobos H, Bermúdez A, Fornaris R, Carrera E, Martínez A. Luxación carpometacarpiana. MEDISAN [Internet]. 2009 [citado 3 Ene 2012];13(2):[aprox. 4 p.]. Disponible en: http://bvs.sld.cu/revistas/san/vol13_2_09/san16209.pdf




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Acta Med Cent. 2012;6