Carpometacarpal dislocations. Long-term follow-up.

Lawlis, John F.; Gunther, Stephen F.

doi:10.2106/00004623-199173010-00007

Cited by 130 publications

(107 citation statements)

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“…The delay in surgery for the ORPP group was a result of delayed diagnosis because all the cases were initially missed. Studies by Henderson and Arafa, [6] Lawlis and Gunther [5] and Pullen et al [15] noted that most injuries were initially missed, and were missed in a primary care or emergency setting due to the complexity of reading lateral hand radiographs. Clinical suspicion and the use of appropriate radiological examination methods, especially oblique radiographs in pronation, may prevent the overlooking of this rare injury.…”

Section: Discussionmentioning

confidence: 99%

“…However, with appropriate management, up to 87% of patients with CMC joint injuries return to full work and sporting activities with negligible pain. [5] The most common clinical sign of the injury is ulnar deviation of the ring and small finger, and tenderness over the CMC joint. [6] Disability of the hand is severe when untreated or in those who received delayed treatment.…”

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confidence: 99%

“…[6] Disability of the hand is severe when untreated or in those who received delayed treatment. [5] In this study, we aimed to retrospectively evaluate and compare the mid-term clinical follow-up results of patients who were treated with open or closed reduction due to CMC fracture dislocation. [7] …”

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confidence: 99%

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Carpometacarpal fracture dislocation of the fourth and fifth finger: mid-term results of 15 patients

Gülabi

Uysal

Çevi̇k

et al. 2017

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu çalışmada karpometakarpal (KMK) kırıklı çıkık nedeniyle açık veya kapalı redüksiyon ile tedavi edilen hastaların orta dönem klinik takip sonuçları geriye dönük olarak değerlendirilip karşılaştırıldı. Hastalar ve yöntemler: Dördüncü ve beşinci parmak KMK kırıklı çıkık nedeniyle ameliyat edilen 15 hastanın (1 erkek, 14 kadın; ort. yaş 32.5±10.5 yıl; dağılım 18-55 yıl) tıbbi çizelgeleri incelendi. Hastalar uygulanan tedaviye göre kapalı redüksiyon ve perkütan pinleme (KRPP, n= 6) ve açık redüksiyon ve perkütan pinleme (ARPP, n=9) olmak üzere iki gruba ayrıldı. Hastalar tedavi gruplarına kör bir el terapisti tarafından değerlendirildi. Hastalar görsel analog ölçeği (GAÖ), Kol, Omuz ve El Sorunları Hızlı Anketi (Q-DASH) skorları ve yumruk yapma kuvvetine göre karşılaştırıldı. Komplikasyonlar kaydedildi. Bulgular: ARPP grubu ve KRPP grubunun ortalama GAÖ değerleri sırasıyla 2.33±0.50 ve 1.67±0.52 idi. ARPP grubu ve KRPP grubunun ortalama Q-DASH değerleri sırasıyla 13.63±3.21 ve 9.05±2.36 idi. ARPP grubu ve KRPP grubunun ortalama yumruk yapma kuvveti değerleri sırasıyla 65.78±3.70 ve 75.17±6.11 idi. ARPP grubunun ortalama GAÖ ve Q-DASH skorları KRPP grubuna kıyasla istatistiksel olarak anlamlı şekilde daha yüksekti. KRPP grubunun ortalama yumruk yapma kuvveti değeri ARPP grubuna kıyasla istatistiksel olarak anlamlı şekilde daha yüksekti. Sonuç: Dördüncü ve beşinci parmak KMK kırıklı çıkıkların KRPP ile tedavisi yaralanma sonrası erken dönemde istatistiksel olarak daha üstün GAÖ, Q-DASH ve yumruk yapma kuvveti değerleri ile sonuçlanmaktadır.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Carpometacarpal fracture dislocation of the fourth and fifth finger: mid-term results of 15 patients

Gülabi

Uysal

Çevi̇k

et al. 2017

Eklem Hastalik Cerrahisi

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“…Injury to the ulnar nerve is frequently seen due to its close proximity to fifth carpometacarpal joint [5]. It can also lead to sympathetic dystrophy and persistent dislocation can lead to stiffness of the hand.…”

Section: Discussionmentioning

confidence: 99%

Unusual Case of Carpometacarpal Dislocation of All the Four Fingers of Ulnar Side of Hand

Sharma

John

2005

Medical Journal Armed Forces India

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“…A high index of suspicion based on energy of precipitating trauma through to physical findings is of essence in reaching an accurate diagnosis. There is general consensus on the difficulty of diagnosing this injury whilst acknowledging the excellent prognosis of such injuries when treated early [3]. As many as 4 out of 10 patients with a CMC dislocation that has been missed or misdiagnosed will experience chronic pain and/or impaired function [1].…”

Section: Introductionmentioning

confidence: 99%

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2017

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Dislocation of all four ulna-sided carpometacarpal (CMC) joints (index through to 5th) is a rare injury pattern in the hand. Diagnosis is often delayed due to the attending health care practitioner's unfamiliarity of the anatomy, pathology and radiological interpretation at initial assessment. A timely diagnosis is often met with a relatively straight-forward reduction whereas delays lead to great management difficulties and poor patient functional outcomes. There are arguments for and against various approaches in management of this injury spectrum however there is consensus that early diagnosis, treatment and rehabilitation yields good results for majority of the patients. Salvage procedures for delayed treatment tend to have poorer prognosis, thus further emphasising the need for diagnosis at the earliest possible point. The rarity explains the relative underrepresentation of this injury spectrum in medical literature. This review aims to educate the reader on various aspects that could lead to better understanding and aid an earlier diagnosis and options for management of this rare injury spectrum. Citation

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Carpometacarpal dislocations. Long-term follow-up.

Cited by 130 publications

References 0 publications

Carpometacarpal fracture dislocation of the fourth and fifth finger: mid-term results of 15 patients

Carpometacarpal fracture dislocation of the fourth and fifth finger: mid-term results of 15 patients

Unusual Case of Carpometacarpal Dislocation of All the Four Fingers of Ulnar Side of Hand

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