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Related Experiment Video

Updated: May 23, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Neglected floating fifth metacarpal: a case report.

Ajay Pal Singh1, Ish Kumar Dhammi, Anil Kumar Jain

  • 1Civil Hospital, Mukerian, Punjab, India. docajaypal@gmail.com

Acta Orthopaedica Et Traumatologica Turcica
|April 12, 2012
PubMed
Summary
This summary is machine-generated.

Simultaneous dislocation of the metacarpophalangeal and carpometacarpal joints, known as floating metacarpals, is rare. This study presents a neglected case of a floating fifth ray and its treatment, with a literature review.

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Last Updated: May 23, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
04:08

Metacarpal Small Incision for Carpal Tunnel Syndrome

Published on: April 5, 2024

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Traumatology

Background:

  • Simultaneous dislocation of metacarpophalangeal (MCP) and carpometacarpal (CMC) joints is a recognized injury pattern.
  • Floating metacarpals are characterized by volar displacement of the metacarpal head and dorsal displacement of the base.
  • Dislocations involving both ends of a single metacarpal, particularly the fifth ray, are uncommon.

Observation:

  • This report details a neglected case of a floating fifth ray, a rare presentation of combined MCP and CMC joint dislocation.
  • The patient's condition involved a closed dislocation at both the proximal and distal articulations of the fifth metacarpal.
  • The neglected nature of the injury presented unique challenges in management.

Findings:

  • The study documents the successful management of a neglected floating fifth ray.
  • A comprehensive review of existing literature on floating metacarpals and fifth ray injuries was conducted.
  • The findings highlight the importance of timely diagnosis and intervention for such rare injuries.

Implications:

  • This case contributes to the understanding of rare hand trauma, specifically floating fifth ray injuries.
  • The management approach discussed may inform treatment strategies for similar neglected cases.
  • Further research into the long-term outcomes of floating metacarpal injuries is warranted.