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Bridge Plating of Second and Third Carpometacarpal Fracture Dislocations: A Case Report of Rare Injury
Taylor Coates1, Kaela Frizzell Hutchinson2
1Department of Medicine, Western University of Health Sciences of the Pacific-Northwest, Lebanon, Oregon, United States.
Introduction:
Fracture dislocations of the second and third carpometacarpal (CMC) joints are a rare injury, often associated with high-energy trauma that can lead to significantly compromised hand function if missed.
Case Report:
A 23-year-old female presented with a subacute right second and third CMC fracture dislocations after a rollover ATV accident. Open reduction and fixation of the second and third CMC fracture dislocations with a bridge plating construct was performed. At 12 weeks postoperatively, there were no complaints of pain. Hardware was removed at 5 months postoperatively. One year postoperatively, the patient had no significant stiffness, pain, or functional deficits.
Conclusion:
Despite the subacute presentation and concern for devitalized bone, repair of the second and third CMC base fracture dislocations with bridge plating is a safe option for the CMC joints without fusion with good results.
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