Dislocation of the Carpometacarpal Joint of the Thumb Associated with Trapezium and Bennett's Fractures

Ibrahimi, A.; Amar, F.; Chbani, B.; Daoudi, A.; Elmrini, Abdelmajid; Boutayeb, F.

doi:10.1007/s11552-008-9162-7

Cited by 6 publications

(6 citation statements)

References 8 publications

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“…However, closed reduction and percutanous pin fixation seems to be a more appropriate treatment method, as it is both minimally invasive and safe against loss of reduction during follow-up. We believe that extensive surgery, such as ligamentous reconstruction using tendon grafts, is overtreatment, because trapezium union and AOL healing provide adequate joint stability [ 6 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Carpometacarpal dislocation of the thumb associated with fracture of the trapezium

Köse

Keskinbora

Güler

2014

J Orthopaed Traumatol

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Carpometacarpal dislocation (CMC) of the thumb associated with fracture of trapezium is an extremely rare injury, with only 12 cases that sustained similar injuries reported in the literature. In this article, another patient with this rare injury was reported, and all previously published cases were extensively reviewed. The presented case and all previously published cases had a longitudinally oriented trapezium fracture, which is naturally unstable and almost always associated with dislocation of the CMC joint. In contrast to previous descriptions, we believe that CMC joint dislocation and trapezium fracture are not two distinct pathologies that occur simultaneously by chance but share cause and consequence.

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Section: Discussionmentioning

confidence: 99%

Carpometacarpal dislocation of the thumb associated with fracture of the trapezium

Köse

Keskinbora

Güler

2014

J Orthopaed Traumatol

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“…On the other hand, if the ligament is damaged, it can be repaired at the same time as the fracture, avoiding postoperative complications or the need for a secondary ligament reconstruction. [39][40][41][42] Great advantages come from the use of arthroscopy. Through the use of small incisions, enhanced accuracy of each procedure of fracture reduction and fixation is assured by the magnification provided by the arthroscope.…”

Section: Discussionmentioning

confidence: 99%

“…If the dorsal capsular ligament is intact and correctly inserted to the bone, a stable joint can be observed. On the other hand, if the ligament is damaged, it can be repaired at the same time as the fracture, avoiding postoperative complications or the need for a secondary ligament reconstruction 39–42. Great advantages come from the use of arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Assisted Treatment of Combined Trapezium and Bennett Fracture-Dislocation

Tandioy-Delgado

Marcovici

Luchetti³

et al. 2022

Techniques in Hand &Amp; Upper Extremity Surgery

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Trapezium fractures are unusual; however, they represent the third most frequent fracture of the carpal bones. As they usually follow a high-energy trauma, they are associated with distal radius, Bennett, or Rolando fractures in 80% of cases. Traditional treatment options include, closed reduction and percutaneous pinning, or open reduction and internal fixation. To minimize the additional surgical trauma, an arthroscopic technique has been developed for safe, minimally invasive management of complex injuries of the first carpo-metacarpal joint. Intra-articular dislocated fracture fragments are reduced under direct visualization and fixed through small incisions. Limiting additional surgical damage on the carpo-metacarpal joint ligaments, capsule, and other soft tissues around the fracture preserves the blood supply to fracture fragments and also the proprioceptive system, which is key for the dynamic stability of such a hypermobile joint. This report confirms that the procedure is feasible, and a complete functional recovery can be expected with reduced postoperative rehabilitation.

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“…Many associated injuries have been reported as bennet or trapezium fracture. The dorsal ligament complex is the largest and thickest and most important ligamentous restraint [6,7] and if this ligament is cut, the major stabilizer is lost, and a carpometacarpal dislocation ensues [7]. If the metacarpal is further flexed, the anterior oblique ligament is stripped from the base of the metacarpal resulting in complete dislocation.…”

Section: Orthopedics and Rheumatology Open Access Journal (Oroaj)mentioning

confidence: 99%

“…Miljjkovic and Milankov has named this injury as the "Bennett fracture without a fracture" implying that the injury is unstable after closed reduction as in a Bennett fracture. Closed reduction and immobilization with the thumb in abduction and kept for 4-6 weeks is the preferred treatment if the joint is stable [1,3,6], and if the thumb carpometacarpal joint is unstable, it is indication for open reduction with K wires, with or without capsulorrhaphy.…”

Section: Orthopedics and Rheumatology Open Access Journal (Oroaj)mentioning

confidence: 99%

Carpo-Metacarpal Joint Dislocation of the Thumb-Conservative Treatment

Jouni

2023

OROAJ

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Introduction: Isolated thumb carpometacarpal joint dislocation is a rare lesion that accounts for less than 1% of all hand injures. We present traumatic isolated thumb carpometacarpal joint dislocation case. Patient treated conservative by closed treatment under local anesthesia, he had a good functional outcome and showed no signs of thumb carpometacarpal instability or arthritis. Isolated thumb carpometacarpal dislocation is a rare lesion that can cause joint instability or arthritis, which interferes with the normal function of the hand and can lead to articular degenerative changes. The best management of this lesion is still controversial, since there is lack of evidence in the literature showing superiority of one treatment over the other.

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Dislocation of the Carpometacarpal Joint of the Thumb Associated with Trapezium and Bennett's Fractures

Cited by 6 publications

References 8 publications

Carpometacarpal dislocation of the thumb associated with fracture of the trapezium

Carpometacarpal dislocation of the thumb associated with fracture of the trapezium

Arthroscopic Assisted Treatment of Combined Trapezium and Bennett Fracture-Dislocation

Carpo-Metacarpal Joint Dislocation of the Thumb-Conservative Treatment

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