Open reduction of carpometacarpal fracture dislocations: a case report

Authors

  • Surya Vijay Singh Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi
  • Gyanendra Puri Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi
  • Rajesh K. Chopra Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi
  • Nivendiran Kuppusamy Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi
  • Pritam Samanta Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi
  • Lakshay Goel Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20195817

Keywords:

Carpometacarpal joints, Dislocation, High energy trauma, Bone, Fracture

Abstract

Dislocations of the carpometacarpal (CMC) joints are uncommon injuries. Up to 70% of carpometacarpal dislocations are missed or misdiagnosed. Post traumatic dislocation of carpal and CMC joint results most commonly due to high energy trauma. A 24 year old male with right hand dominant presented 5 days after in emergency room with alleged history of fall from 4 feet height on right hand with wrist in extension. On clinical examination revealed marked swelling over dorsum of right hand with wound over volar aspect of hand. There was minimal movement of fingers due to pain. There was no finger paresthesia. CRT was normal. Radiography revealed a volar dislocation of 2nd to 5th CMC joint with intra-articular fracture of base of proximal phalanx of the thumb. He was treated by open reduction and percutaneous fixation using Kirschner wires. The functional results were excellent at 6 months of follow-up.

Author Biographies

Surya Vijay Singh, Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi

MS orthopaedics

Gyanendra Puri, Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi

MS Orthopaedics

Rajesh K. Chopra, Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi

Professor orthopaedics

Nivendiran Kuppusamy, Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi

MS orthopaedics

Pritam Samanta, Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi

Pg orthopaedics

Lakshay Goel, Department of Orthopedics, Central Institute of Orthopedics, V.M.M.C. and Safdarjung Hospital, New Delhi

MS orthopaedics

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Published

2019-12-24