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Simultaneous dislocation of all five carpometacarpal joints.

M Fayman1, B Hugo, H de Wet

  • 1Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Plastic and Reconstructive Surgery
|July 1, 1988
PubMed
Summary

This case study details a rare simultaneous dislocation of all five carpometacarpal joints, likely caused by a closed fist impact. Successful treatment involved surgical reduction, fixation, and physiotherapy, restoring hand function.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Hand Surgery

Background:

  • Carpometacarpal joint dislocations are uncommon hand injuries.
  • Simultaneous involvement of all five carpometacarpal joints represents a unique and severe presentation.

Observation:

  • A patient presented with a rare simultaneous dislocation of all five carpometacarpal joints.
  • The injury mechanism was attributed to a forceful closed fist impact, not direct trauma.

Findings:

  • The case demonstrates a unique pattern of carpometacarpal joint injury.
  • Successful management was achieved through a combination of closed reduction, open reduction with skeletal fixation, and comprehensive physiotherapy.

Implications:

  • This case highlights effective treatment strategies for complex carpometacarpal dislocations.

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  • The findings underscore the importance of prompt surgical intervention and rehabilitation for optimal outcomes in severe hand trauma.