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

Abstract

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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Correspondence to Andrew J. Weiland MD.

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Prokopis, P.M., Weiland, A.J. Volar Dislocation of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of the Literature. HSS Jrnl 4, 138–142 (2008). https://doi.org/10.1007/s11420-008-9086-3

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Keywords

  • Internal Fixation
  • Carpal Tunnel Syndrome
  • Anatomic Reduction
  • Rare Injury
  • Small Finger