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Surgical reconstruction using suture anchor for dislocation of the carpometacarpal joint of the thumb: a case report

  • Trauma Surgery
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Abstract

Dislocation of the carpometacarpal joint of the thumb is a rare injury. This is the first report in the literature performing ligamentous reconstruction using suture anchors in a case of severe joint instability after manipulative reduction for dislocation of the first carpometacarpal joint. Our surgical procedure successfully resulted in a stable pain-free thumb 1 year postoperatively.

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Abbreviations

AOL:

Anterior oblique ligament

CMC:

Carpometacarpal

DRL:

Dorsoradial ligament

References

  1. Steven Z, Glickel O, Alton B, Louis WC (2005) Dislocations and ligament injuries in the digits. In: Green DP (ed) Operative hand surgery, 5th edn edn. Churchill Livingstone, Philadelphia, pp 382–386

    Google Scholar 

  2. Kato H, Kasashima T, Hirachi K, Inoue M, Minami A (1995) Surgical repair of collateral ligament injury in a digit using the Mitek suture anchor. J Hand Surg Jpn 12:173–179 (in Japanese)

    Google Scholar 

  3. Bettinger PC, Linscheid RL, Berger RA, Cooney WP 3rd, An KN (1999) An anatomic study of the stabilizing ligaments of the trapezium and trapeziometacarpal joint. J Hand Surg Am 24A:786–798

    Article  Google Scholar 

  4. Strauch RJ, Behrman MJ, Rosenwasser MP (1994) Acute dislocation of the carpometacarpal joint of the thumb: an anatomic and cadaver study. J Hand Surg Am 19A:93–98

    Article  Google Scholar 

  5. Eaton RG, Littler JW (1973) Ligament reconstruction for the painful thumb carpometacarpal joint. J Bone Joint Surg Am 55A:1655–1666

    Google Scholar 

  6. Nagaoka M (2004) Dislocation and subdislocation of the first CMC joint. In: Takaoka K (ed) New OS NOW, vol 22. Medical View, Tokyo, pp 24–28 (in Japanese)

  7. Johnson SR, Jones DG, Hoddinott HC (1987) Missed carpometacarpal dislocation of the thumb in motorcyclists. Injury 18:415–416

    Article  CAS  PubMed  Google Scholar 

  8. Shah J, Patel M (1983) Dislocation of the carpometacarpal joint of the thumb: a report of four cases. Clin Orthop Relat Res 175:166–169

    PubMed  Google Scholar 

  9. Hattori Y, Tsunoda K, Miyata T, Takagi K, Kamori M (2002) Traumatic dislocation of the first carpo-metacarpal joint: a case report. Orthop Surg 53:533–535 (in Japanese)

    Google Scholar 

  10. Watt N, Hooper G (1987) Dislocation of the trapezio-metacarpal joint. J Hand Surg Br 12B:242–245

    Google Scholar 

  11. Nishiguchi S, Kasai R, Shinbayashi H, Nishimura N, Saito T (2004) Traumatic dislocation of carpometacarpal joint (comparison between thumb and ulnar digits). Cent Jpn J Orthop Surg Traumatol 47:443–444 (in Japanese)

    Google Scholar 

  12. Simonian PT, Trumble TE (1996) Traumatic dislocation of the thumb carpometacarpal joint: early ligamentous reconstruction versus closed reduction and pinning. J Hand Surg Am 21A:802–806

    Article  Google Scholar 

  13. Marcotte AL, Trzeciak MA (2008) Nonoperative treatment for a double dislocation of the thumb metacarpal: a case report. Arch Orthop Trauma Surg 128(3):281–284

    Article  PubMed  Google Scholar 

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Correspondence to Hirotaka Haro.

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Okita, G., Anayama, S., Sato, N. et al. Surgical reconstruction using suture anchor for dislocation of the carpometacarpal joint of the thumb: a case report. Arch Orthop Trauma Surg 131, 225–228 (2011). https://doi.org/10.1007/s00402-010-1122-3

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  • DOI: https://doi.org/10.1007/s00402-010-1122-3

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