Multiple Carpometacarpal Dislocations of the Hand – An Uncommon Variant: A Rare Case

Deshpande, Milind; Doomra, Tanvir; Nadkarni, S.

doi:10.1142/s0218810417720261

Cited by 3 publications

(3 citation statements)

References 14 publications

(15 reference statements)

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“…Carpometacarpal joint dislocations are reported in the literature as isolated case reports or case series due to their rare incidence (Deshpande et al, 2017;Gil et al, 2017). The treatment varies based on the patient's presentation.…”

Section: Discussionmentioning

confidence: 99%

Near-miss Injury of Multiple Carpometacarpal Joint Dislocations: A Report of Two Cases

Zakaria

Kumar

et al. 2021

BJMS

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Multiple carpometacarpal joint (CMCJ) dislocations are rare and are easily missed. The anatomical configuration renders stability to the joints. As a result, a high-velocity impact is required to dislocate the joint. We present two cases of multiple carpometacarpal joint dislocations with different mechanisms of injury and their subsequent management at our centre. In case 1, a 29-year-old gentleman presented with acute dislocations of the CMCJs involving the right middle, ring, and little fingers. An open reduction and fixation with Kirschner wires were done to stabilize the dislocated CMCJs and he subsequently recovered. In case 2, a 25-year-old gentleman had the CMCJ dislocations detected late due to other more profound injuries. Partial arthrodesis was performed to address the instability of the CMCJs of the right index, middle and ring fingers. He subsequently recovered and returned to work 6-months postoperatively. The diagnosis of carpometacarpal joint dislocation can be easily missed especially when there is a concurrent distracting injury. It is crucial to maintain a high index of suspicion as early diagnosis and prompt treatment is paramount to yield a better outcome.

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Section: Discussionmentioning

confidence: 99%

Near-miss Injury of Multiple Carpometacarpal Joint Dislocations: A Report of Two Cases

Zakaria

Kumar

et al. 2021

BJMS

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“…Those of the fourth and fifth metacarpals are more frequent than those of the second and third metacarpals due to the higher range of mobility of the former. The coexistence of a distal carpal row fracture is quite frequent [1] Up to 70% of carpometacarpal dislocations are missed or misdiagnosed [3]. Failure to diagnose these injuries or inability to maintain an anatomic reduction results in painful hands with reduced grip strength [3].…”

Section: Introductionmentioning

confidence: 99%

“…The coexistence of a distal carpal row fracture is quite frequent [1] Up to 70% of carpometacarpal dislocations are missed or misdiagnosed [3]. Failure to diagnose these injuries or inability to maintain an anatomic reduction results in painful hands with reduced grip strength [3].…”

Section: Introductionmentioning

confidence: 99%

Volar radial Carpometacarpal dislocation of the fourth and fifth fingers

Foad LAMNAOUAR,

Tabbak Khalil,

Kharroube Mohamed Amine

et al. 2023

World J. Adv. Res. Rev.

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Carpometacarpal ligaments converge at the base of the metacarpal. Only very violent trauma can cause carpometacarpal dislocation. We report the case of a 23-year-old patient admitted for volar dislocation of the 4th and 5th finger with radial displacement. We did proceed to a closed reduction maintained by a splint the evolution was satisfactory with the recuperation of grip force. The mechanism of the injury can be direct or indirect. The displacement can suggest is there or not a complete rupture of the carpometacarpal ligaments. After closed reduction, the treatment can be surgical (which is preferred) with k-wire fixation or nonsurgical with splint immobilization with a close follow-up to avoid the loss of the reduction.

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