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Isolated dislocation of the four ulnar carpometacarpal joints

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Abstract

Dislocation of the multiple carpometacarpal joints without associated fractures of the metacarpal and/or carpal bones is an exceedingly rare injury. An earlier belief that carpometacarpal dislocations are high-energy injuries is questioned due to an unusual case of isolated dislocation of the four ulnar metacarpals that occurred after a relatively minor hand trauma. Early recognition and anatomical reduction are essential to achieving good long-term outcomes. Massive edema, interposed volar ligaments and overlapping metacarpal bases are the usual obstacles to a successful closed reduction.

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References

  1. Bergfield TG, Dupuy TE, Aulicino PL (1985) Fracture dislocations of all five carpometacarpal joints: a case report. J Hand Surg 10A:76–78

    Google Scholar 

  2. Dobyns JH, Linscheid RL, Cooney WP (1983) Fractures and dislocations of the wrist and hand, then and now. J Hand Surg 8A:687–690

    Google Scholar 

  3. Glickel SZ, Barron OA, Eaton RG (1998) Dislocations and ligament injuries in the digits. In: Green DP (ed) Operative hand surgery, 4th edn. Churchill Livingstone, New York, pp 772–808

    Google Scholar 

  4. Gunther SF (1984) The carpometacarpal joints. Orthop Clin North Am 15:259–277

    PubMed  Google Scholar 

  5. Hartwig RH, Louis DS (1979) Multiple carpomtacarpal dislocations: a review of four cases. J Bone Joint Surg 61A:906–908

    Google Scholar 

  6. Henderson JJ, Arafa MAM (1987) Carpometacarpal dislocation: an easily missed diagnosis. J Bone Joint Surg 69B(2):212–214

    Google Scholar 

  7. Hsu JD, Curtis RM (1970) Carpometacarpal dislocations on the ulnar side of the hand. J Bone Joint Surg 52A:927–930

    PubMed  Google Scholar 

  8. Kumar A, Olney DB (1994) Multiple carpometacarpal dislocations. J Accid Emerg Med 11(4):257–258

    PubMed  Google Scholar 

  9. Kumar R, Malhotra R (2001) Divergent fracture dislocation of the second carpometacarpal joint and the three ulnar carpometacarpal joints. J Hand Surg 26A:123–129

    Google Scholar 

  10. Laforgia R, Specchinlli F, Mariani A (1990) Dorsal dislocation of the fifth carpometacarpal joint. J Hand Surg 15A:463–465

    Google Scholar 

  11. Lawlis JF, Gunther SF (1991) Carpometacarpal dislocations: long-term follow up. J Bone Joint Surg 73A:52–58

    Google Scholar 

  12. Mabee JR, Lee J (1997) Dorsal dislocation of the four metacarpals. Am J Emerg Med 15(4):408–411

    Article  PubMed  Google Scholar 

  13. Resnick SM, Greene TL, Roeser W (1985) Simultaneous dislocation of the five carpometacarpal joints. Cin Orthop 192:210–214

    Google Scholar 

  14. Smith GR, Xang SS, Weiland AJ (1996) Multiple carpometacarpal dislocations: a case report and review of treatment. Am J Orthop 25(7):502–506

    PubMed  Google Scholar 

  15. Yildiz M, Balu C, Sener M (1995) Isolated dislocation of all carpometacarpal joints. J Hand Surg 20B:606–608

    Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India

    Amite Pankaj, Rajesh Malhotra & Surya Bhan

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  1. Amite Pankaj
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  2. Rajesh Malhotra
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  3. Surya Bhan
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Correspondence to Rajesh Malhotra.

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Pankaj, A., Malhotra, R. & Bhan, S. Isolated dislocation of the four ulnar carpometacarpal joints. Arch Orthop Trauma Surg 125, 541–544 (2005). https://doi.org/10.1007/s00402-005-0829-z

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  • DOI: https://doi.org/10.1007/s00402-005-0829-z

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