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Related Experiment Video

Updated: Feb 24, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
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[Transtrapezoid carpal dislocation: a case report].

David Latz, Sebastian Viktor Gehrmann, Pascal Jungbluth

    Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
    |August 29, 2017
    PubMed
    Summary
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    This case study details a rare dorsal fracture dislocation of the scaphotrapezoid (STT) joint and associated compartment syndrome in a worker. Immediate surgical intervention and rehabilitation led to significant hand function recovery.

    Area of Science:

    • Orthopedic Surgery
    • Trauma Care
    • Hand Surgery

    Background:

    • Fracture dislocations of the scaphotrapezoid (STT) joint are exceptionally rare injuries.
    • Crush injuries to the hand can result in complex fractures and associated complications like compartment syndrome.

    Purpose of the Study:

    • To report a rare case of dorsal fracture dislocation of the STT joint with concomitant hand compartment syndrome.
    • To highlight the effectiveness of immediate surgical management and rehabilitation for this specific injury pattern.

    Main Methods:

    • Presentation of a case involving a 50-year-old male with a crush hand injury.
    • Immediate open reduction and internal fixation (ORIF) of the trapezoid bone and second metacarpal.
    • Compartment release surgery and percutaneous K-wire stabilization.

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  • Post-operative management including hardware removal and intensive physical therapy.

    • Main Results:

    • The patient achieved good functional recovery at three months post-injury.
    • Grip strength was 75% of the uninjured side, with 90% range of motion (ROM) in extension/flexion.
    • Full thumb opposition was noted, with a Kapandji score of 9/10.

    Conclusions:

    • Immediate surgical treatment is crucial for managing dorsal STT joint fracture dislocations and associated compartment syndrome.
    • A comprehensive approach involving surgery and physical therapy can yield favorable functional outcomes in patients with this rare hand injury.