Carpometacarpal Joint Fracture Dislocation of Second to Fifth Finger.
10.4055/cios.2015.7.4.430
- Author:
Gopal Tukaram PUNDKARE
1
;
Aniket Machindra PATIL
Author Information
1. Department of Orthopaedic, Bharati Vidyapeeth Deemed University Medical College and Hospital, Pune, India. draniketpatil12@gmail.com
- Publication Type:Original Article
- Keywords:
Carpometacarpal joints;
Volar dislocation;
Dorsal dislocation;
Fracture
- MeSH:
Adult;
Carpometacarpal Joints/*injuries/radiography/*surgery;
Dislocations/radiography/*surgery;
Fracture Fixation, Internal;
Fracture Healing;
Hand Injuries/radiography/*surgery;
Humans;
Male;
Middle Aged;
Retrospective Studies;
Young Adult
- From:Clinics in Orthopedic Surgery
2015;7(4):430-435
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Carpometacarpal joint fracture dislocation of the second to fifth finger is a rare hand injury associated with high energy trauma. Due to severe swelling and overlapping of bones on the radiograph of wrist-hand, dislocations are missed. We reported a series of six patients with rare carpometacarpal joint fracture dislocation treated with open reduction. METHODS: We retrospectively studied six cases of carpometacarpal joint fracture dislocation. All patients were treated with open reduction and internal fixation with Kirschner wire. Functional assessment was done with Quick Disabilities of the Arm, Shoulder and Hand score (Quick DASH score) at regular intervals. RESULTS: Average Quick DASH score was improved from 75.76 to 1.9 from 6 weeks to 18 months of duration. Of the six patients, three patients had a Quick DASH score of 0 at the end of 18 months. CONCLUSIONS: Careful hand examination and radiographic assessment is necessary to avoid missed diagnosis of carpometacarpal joint fracture dislocation. Early open reduction and internal fixation lead to excellent recovery of hand function.
