Dislocation of the Carpometacarpal Joint of the Thumb in Ehlers-Danlos Syndrome: A Case Report.
10.4055/jkoa.2005.40.7.1004
- Author:
Sang Jin CHEON
1
;
Jae Young CHO
;
Jeong Han KANG
;
Hui Taek KIM
;
Chong Il YOO
Author Information
1. Department of Orthopaedic Surgery, College of Medicine Pusan National University, Busan, Korea. scheon@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Ehlers-Danlos syndrome;
Thumb carpometacarpal dislocation;
Capsular ligament reconstruction;
Arthrodesis
- MeSH:
Arthrodesis;
Carpometacarpal Joints*;
Dislocations*;
Ehlers-Danlos Syndrome*;
Hand;
Humans;
Ligaments;
Tendons;
Thumb*;
Transplants
- From:The Journal of the Korean Orthopaedic Association
2005;40(7):1004-1008
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A subluxation or dislocation of the carpometacarpal joint of the thumb is a rare injury, which usually occurs from trauma. There is a relative dearth of literature about the results of hand surgery for the treatment of Ehlers-Danlos syndrome. To the best of our knowledge, there has been no report on capsular ligament reconstruction in the hand using an autogenous tendon graft for the treatment of Ehlers-Danlos syndrome. We describe a case of atraumatic dislocation of the carpometacarpal joint of the thumb that had gradually progressed in a patient with Ehlers-Danlos syndrome; and which was treated with capsular ligament reconstruction by use of a portion of the flexor carpi radialis tendon. Six months after surgery, a trapeziometacarpal arthrodesis was performed secondarily, because of subluxation and pain in the carpometacarpal joint of the thumb, with a pinching motion.
