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Published on: April 5, 2024
Simultaneous dislocations of the carpometacarpal joints: a case report
Yury A Slesarenko1, Edward D Wang, Mathew J Most
1Division of Hand Surgery, Department of Orthopaedic Surgery, State University of New York, University Hospital, Stony Brook, NY 11794-8191, USA. yslesarenko@aol.com
Summary
This case report details simultaneous dislocations of the carpometacarpal joints. Successful closed reduction and splinting achieved a favorable outcome for this rare wrist injury.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand Surgery
Background:
- Carpometacarpal (CMC) joint dislocations are uncommon wrist injuries.
- Simultaneous bilateral CMC joint dislocations represent an even rarer presentation.
- Understanding the mechanism and management is crucial for orthopedic outcomes.
Observation:
- A single case of simultaneous bilateral carpometacarpal joint dislocations was observed.
- The injury involved both dominant and non-dominant wrists concurrently.
- Clinical presentation and radiographic findings were consistent with severe joint disruption.
Findings:
- Closed reduction of the simultaneous CMC joint dislocations was performed.
- Post-reduction, the joints were stabilized using splinting.
- The patient demonstrated a good functional recovery following the intervention.
Implications:
- This case highlights the possibility of simultaneous bilateral CMC joint dislocations.
- Effective management through closed reduction and splinting can lead to positive results.
- Further investigation into the biomechanics and specific injury patterns may be warranted.