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Multiple carpometacarpal joint fracture-dislocation from the second to fifth: A case report
Sitthiphong Suwannaphisit1, Porames Suwanno1, Warangkana Fongsri1
1Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Road, Hat Yai, Songkhla, 90110, Thailand.
Annals of Medicine and Surgery (2012)
|May 2, 2022
Summary
Multiple carpometacarpal joint fracture-dislocations are rare injuries typically caused by high-velocity impacts. Closed reduction with Kirschner wire fixation offers a successful treatment option, leading to excellent clinical outcomes.
Area of Science:
- Orthopedic surgery
- Trauma care
Background:
- Multiple carpometacarpal (CMC) joint fracture-dislocations are rare injuries.
- High-velocity impact is a common etiology, necessitating thorough diagnostic evaluation.
Observation:
- A 34-year-old male sustained multiple second to fifth CMC joint fracture-dislocations after a motorcycle accident.
- The patient presented with severe left hand pain.
Findings:
- Successful treatment was achieved using closed reduction with multiple Kirschner wire fixation under general anesthesia.
- A one-year follow-up confirmed excellent clinical and radiographic results.
Implications:
- Closed reduction with K-wire fixation is an effective and straightforward technique for managing these injuries.
- Awareness of the high-energy mechanism is crucial for accurate diagnosis and appropriate treatment planning.
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