HSS Journal

, Volume 4, Issue 2, pp 138–142 | Cite as

Volar Dislocation of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of the Literature

Case Report


We report the treatment of a volar dislocation to the fourth and fifth carpometacarpal (CMC) joints. Plain radiographs were used to evaluate this unusual injury before surgery. Open reduction and internal fixation using K-wires restored the normal anatomic relationships of the CMC joints. This very rare injury is often difficult to recognize. A careful neurologic assessment of the patient is a necessity, as well as obtaining proper radiographs of the hand. A review of the literature is presented.


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Copyright information

© Hospital for Special Surgery 2008

Authors and Affiliations

  1. 1.Department of Hand and Upper Extremity SurgeryThe Hospital for Special SurgeryNew YorkUSA
  2. 2.Sports Medicine NorthPeabodyUSA

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