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Related Experiment Video

Updated: Mar 7, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
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Isolated Dislocation of Fourth Carpometacarpal Joint: Case Report.

K P Venkatesh1, B Sunil2, N V Ankith2

  • 1* Narayana Medical College, Nellore, Andhra Pradesh, India.

The Journal of Hand Surgery Asian-Pacific Volume
|February 17, 2017
PubMed
Summary

This report details the first case of fourth carpometacarpal joint dislocation without fractures. Early diagnosis via lateral wrist X-ray and prompt reduction are crucial for favorable outcomes in this rare injury.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Radiology

Background:

  • Carpal injuries, particularly isolated carpometacarpal dislocations, are rare occurrences in orthopedic literature.
  • Dislocations of the carpometacarpal joints without associated fractures are exceptionally uncommon.

Observation:

  • This case report describes the first instance of a fourth carpometacarpal joint dislocation without any accompanying fractures.
  • The diagnostic challenge is highlighted due to significant hand swelling, which can obscure the injury on initial examination.

Findings:

  • A lateral radiograph of the wrist is essential for the accurate diagnosis of this specific injury when suspected.
  • The absence of fractures in this carpometacarpal dislocation case is a unique finding.
Keywords:
Carpometacarpal jointDislocationFourthHand

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Implications:

  • Early recognition and prompt anatomical reduction are critical for achieving optimal long-term functional outcomes for patients.
  • This case underscores the importance of maintaining a high index of suspicion for rare carpal injuries and utilizing appropriate imaging techniques.