Floating thumb metacarpal in a motorcyclist: A case report

Messaoudi, T.; Errhaimini, M.; Ghoubach, M.; Chafik, Rachid; Mahtar, Mohamed; Elhaoury, Hanane; Saïdi, H.; Fikry, T.

doi:10.1016/j.main.2015.01.007

Cited by 6 publications

(9 citation statements)

References 16 publications

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“…Although the management of a floating thumb could be non-operative by close reduction and cast immobilization [5,11], most of the authors chose K-wire fixation to avoid loss of reduction [1,[6][7][8]. In our case, the patient failed in cast immobilization after closed reduction previously, which may indicate considerable instability.…”

Section: Discussionmentioning

confidence: 85%

“…Double dislocation of CMC and MCP joints of the thumb is a rare injury, which is also called 'floating thumb'. Since it was first described by Moore et al in 1978, only a few cases with simultaneous double thumb dislocation were reported [1,[5][6][7][8][9][10], in which most patients were almost aged 20s or 30s when they got injured. To our knowledge, this was the first case that a Chinese elderly woman suffered from double dislocation of CMC and MCP joints.…”

Section: Discussionmentioning

confidence: 99%

“…'Floating thumb' is a special term describing simultaneous carpometacarpal (CMC) and metacarpo-phalangeal (MCP) dislocation [1][2][3]. This rare injury was reported by some authors to treat with conservatively closed reduction and casting [4,5] or percutaneous K wiring with open ligament repair [1,6,7]. To our knowledge, no Chinese patient was reported before.…”

Section: Introductionmentioning

confidence: 99%

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Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report

Li¹

2019

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Double dislocation of carpometacarpal and metacarpo-phalangeal joints of thumb is also called 'floating thumb metacarpal'. This rare injury usually presents with combined joints dislocation and collateral ligaments rupture, which may be predisposing to joint instability after closed reduction. We report a case of traumatic and chronic dislocation of carpometacarpal and metacarpo-phalangeal joints of left thumb in a 63-year-old housewife. Failure of non-operative treatment was found up to 1 month after injury due to missed follow-up. Closed reduction was tried but failed because of joints stiffness. Open reduction and K-wire fixation were performed and radial collateral ligaments were repaired. Patient restored good functional outcome with no evidence of arthritis or subluxation at 1 year. Open reduction and fixation show good result in our case with delayed surgical intervention. The management of a floating thumb could be non-operative by close reduction and cast immobilization. However, closed monitoring and regular follow-up are critical after non-operative treatment to avoid potential risk of post-operative complications.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report

Li¹

2019

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“…In the literature, there are numbered reports of simultaneous dislocations in a finger [ 3 , 5 , 6 ]. Concomitant dislocations of CMC and MCP are also rare in the literature [ 1 , 2 , [7] , [8] , [9] ]. These multiple dislocations in thumb have been labeled “floating thumb metacarpal” by Drosos et al [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous quadruple dislocations of the hand in a motorcyclist: A case report

Fereidooni

Kousari

2023

Trauma Case Reports

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“…The fracture dislocation was successfully treated with closed reduction and percutaneous K-wires fixation. To our knowledge, this association has never been scarcely reported reviewing the literature [3,4]. The functional and anatomical outcomes revealed that closed reduction and percutaneous fixation is available in fracture dislocation more than isolated dislocation.…”

Section: Case Reportmentioning

confidence: 96%

Floating First Metacarpal: Fracture Dislocation of the Trapezio-Metacarpal Joint Associated with Fracture of the Base of the Proximal Phalanx: A Case Report

Kaziz¹

2017

J Musculoskelet Disord Treat

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Floating first metacarpal has been scarcely described in the literature. Fracture dislocation of the trapezio-metacarpal joint has been reported more than the isolated form but deemed exceptional. We report a 40-year-old man consulting for an injury on his right thumb in which the described mechanism was an axial metacarpal force with both flexed trapezio-metacarpal and interphalangeal joints. X-ray findings revealed a floating metacarpal composed from a Bennet fracture dislocation of the trapezio-metacarpal joint and a fracture dislocation of the base of the proximal phalanx. A closed reduction and percutaneous fixation was achieved. After removal of pins and physiotherapy, and at 12 months of follow up, anatomical and functional outcomes were satisfied with a normal motion of the thumb. The aim of our case report is to improve the closed reduction and percutaneous fixation on fracture dislocation of the trapezio-metacarpal on contrast to the isolated dislocation form in which closed reduction must be avoided.

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Floating thumb metacarpal in a motorcyclist: A case report

Cited by 6 publications

References 16 publications

Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report

Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report

Simultaneous quadruple dislocations of the hand in a motorcyclist: A case report

Floating First Metacarpal: Fracture Dislocation of the Trapezio-Metacarpal Joint Associated with Fracture of the Base of the Proximal Phalanx: A Case Report

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