Abstract
We present a case of a fourth and fifth carpometacarpal (CMC) joint dislocation following minor trauma and a review of current literature concerning diagnosis and treatment modalities. Such dislocations are rare and seldom seen in the setting of minor trauma. The patient, a 24-year-old male, sustained the injury following a fall on outstretched hand accident at home. He was treated with closed reduction and discharged with a short arm cast. At a 6 month follow up, all CMC joints were non-tender with full range of motion in all digits. Neurovascular examination was normal. Since, he has returned to full working duties without any compromise in the grip strength.
Résumé
Les auteurs présentent un cas de luxation de l’articulation entre les 4e et 5e métacarpiens survenue à la suite d’un traumatisme mineur et font une revue de la littérature en ce qui concerne le diagnostic et le traitement. Ce type de luxation est rare et ne se voit pas très souvent à la suite d’un traumatisme léger. Le patient, âgé de 24 ans, subit le traumatisme en faisant une chute à son domicile, sur la main tendue. Il fut traité par réduction à ciel fermé et put quitter l’hôpital avec une courte attelle. Après six mois toutesses ses articulations étaient indolores et tous les doigts avaient une mobilité complète. L’examen neuro-vasculaire était normal. Depuis, il a retrouvé son travail à plein temps sans aucune diminution de la force de préhension.
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Biswas, S., Ramachandran, R. & Murphy, M. Carpometacarpal dislocations on the ulnar side of the hand following minor injury. Eur J Orthop Surg Traumatol 17, 189–192 (2007). https://doi.org/10.1007/s00590-006-0134-8
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DOI: https://doi.org/10.1007/s00590-006-0134-8