Luxation carpométacarpienne antérieure des deuxième et troisième rayons

Dreant, Nicolas; Norat, F.; Pequignot, J.-P.; Lussiez, B.

doi:10.1016/j.main.2007.07.005

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…CMC joint dislocation represents less than one percent of all hand trauma, the first CMC joint excluded [1, 7]. The dislocation of the second and the third CMC joints is even less frequent [8]. …”

Section: Discussionmentioning

confidence: 99%

Conservative Treatment of Carpometacarpal Dislocation of the Three Last Fingers

Jumeau

Lechien

Dupriez

2016

Case Reports in Emergency Medicine

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Posterior carpometacarpal (CMC) dislocation is a rare condition. Treatment is usually surgical though no strict consensus can be found upon literature review. If diagnosed early and no associated fractures are found, CMC dislocation could benefit from conservative treatment comprising closed reduction and splint immobilisation. We report the case of a 26-year-old man diagnosed with a posterior dislocation of the third, fourth, and fifth CMC joints after a fall of 1.5 meters, treated by external reduction under procedural sedation and immobilisation with a cast for 6 weeks. Evolution was excellent with no relapse observed during follow-up. Our aim is to increase physician awareness of CMC dislocation so that they seek this injury in the emergency department. Unrecognised CMC dislocation can lead to neurovascular injuries as well as chronic instability and early articular degeneration.

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Section: Discussionmentioning

confidence: 99%

Conservative Treatment of Carpometacarpal Dislocation of the Three Last Fingers

Jumeau

Lechien

Dupriez

2016

Case Reports in Emergency Medicine

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“…La luxation carpométacarpienne divergente est une entité rare [1,3,4,5,[7][8][9][10][11][14][15][16][17]20]. Elle intéresse l'adulte jeune le plus souvent.…”

Section: Discussionunclassified

“…Les luxations carpométacarpiennes sont des lésions rares [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]20] et la forme divergente est encore plus rare [1,3,5,11,16,18]. Elles sont souvent associées aux fractures des métacarpes.…”

Section: Introductionunclassified

Luxation carpométacarpienne divergente des quatre derniers doigts (à propos d’un cas)

Loudyi

Amar

Chbani

et al. 2009

Chirurgie de la Main

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“…[1][2][3][4][6][7][8][9][10][14][15][16][17]19 Divergent carpometacarpal dislocations are even rarer, with only a few documented cases, 1,2,4,10,17 resulting from either automobile accidents or falls from a height. An association with a distal radius fracture and a posterior elbow dislocation has never been reported before.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][6][7][8][9][10][14][15][16]19 Divergent carpometacarpal dislocations are even rarer. 1,2,4,10,17 The second most common joint dislocated in adults is the elbow, which accounts for 20% of all dislocations.…”

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An unusual combination of divergent carpometacarpal joints dislocations, distal radius fracture, and posterior elbow dislocation

et al. 2009

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IntroductionMultiple carpometacarpal dislocations are rare. [1][2][3][4][6][7][8][9][10][14][15][16]19 Divergent carpometacarpal dislocations are even rarer. 1,2,4,10,17 The second most common joint dislocated in adults is the elbow, which accounts for 20% of all dislocations. There is posterolateral displacement in most cases. 11, 13 We report an unusual case of combination of all three: divergent carpometacarpal joints dislocations, distal radius fracture, and posterior elbow dislocation. As far as we are aware, this has never been reported before in the literature. Case reportA 35-year-old male fell off a speeding scooter after a collision. He presented in the emergency department with pain in the left elbow, left wrist and left hand. The vital signs were stable. Physical examination revealed a swollen hand and marked deformity of the elbow. No distal neurovascular deficit was recorded in the injured extremity. Initial radiographs showed a posterior dislocation of elbow, a distal radius fracture, and a divergent fracture dislocation of the carpometacarpal joints of all four fingers ( Fig. 1) with palmar displacement of the index and middle, dorsal displacement of the ring and little finger, a comminuted fracture of the fourth metacarpal base, a divergence between the fourth and fifth metacarpals (Fig. 2), and a non-displaced fracture of the first metacarpal. The same day, under regional anaesthesia, closed reduction was attempted. The elbow dislocation was easily reduced and post-reduction X-rays showed satisfactory reduction with no associated fractures (Fig. 3). Fixation of the distal radius fracture was accomplished with percutaneous Kirschner wires under radiographic guidance. Closed reduction of the carpometacarpal dislocations was easily accomplished by gentle linear traction and direct pressure over the dislocated metacarpal bases.Fixation was accomplished with percutaneous Kirschner wires across the carpometacarpal joints (Fig. 4) under radiographic guidance. An above elbow plaster splint with the wrist in neutral position was applied. The elbow mobilization was started from 2 weeks after reduction, and active physiotherapy of the fingers was

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Luxation carpométacarpienne antérieure des deuxième et troisième rayons

Cited by 10 publications

References 8 publications

Conservative Treatment of Carpometacarpal Dislocation of the Three Last Fingers

Conservative Treatment of Carpometacarpal Dislocation of the Three Last Fingers

Luxation carpométacarpienne divergente des quatre derniers doigts (à propos d’un cas)

An unusual combination of divergent carpometacarpal joints dislocations, distal radius fracture, and posterior elbow dislocation

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