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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2019, Number 1

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Ortho-tips 2019; 15 (1)

Carpometacarpal dislocation

Sánchez GLE

Language: Spanish
References: 15
Page: 38-44
PDF size: 163.58 Kb.


ABSTRACT

Carpo-metacarpal dislocation is a rare injury, common in young people and secondary to high-energy lesion. The most affected joint is between 4th and 5th metacarpal with the hamate bone. An adequate diagnosis requires simple radiological studies of good quality and with the appropriate technique (dorsal-palmar, lateral and oblique of the hand). Treatment usually requires closed reduction and fixation with percutaneous K pins, although some cases require open reduction and internal fixation. The prognosis is good if the proper treatment is performed in time. Otherwise, the patient continues with edema, pain, degenerative arthrosis, functional limitation and decrease in strength.


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