Related Experiment Videos
Double dislocation of the fifth metacarpal
C Khodadadyan1, R Hoffmann, Y Moazami-Goudarzi
1Free University of Berlin, Rudolf Virchow Medical Center, Department of Trauma and Reconstructive Surgery, Germany.
Journal of Hand Surgery (Edinburgh, Scotland)
|April 1, 1995
Summary
A rare case of simultaneous double dislocation of the fifth metacarpal bone was successfully treated. Closed reduction and Kirschner wire fixation provided a stable outcome for this traumatic hand injury.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand Surgery
Background:
- Simultaneous double dislocations of the fifth metacarpal bone are exceptionally rare injuries.
- Understanding the biomechanics of metacarpal fractures and dislocations is crucial for effective treatment.
Observation:
- A patient presented with a traumatic, simultaneous, double dislocation affecting the fifth metacarpal bone.
- This specific injury pattern involves displacement at both the carpometacarpal and metacarpophalangeal joints of the little finger.
Findings:
- Closed reduction was performed, achieving anatomical alignment of the dislocated metacarpal bone.
- Transarticular, crossed Kirschner wire fixation provided stable internal fixation, maintaining the reduction.
Implications:
- This case highlights a successful non-operative management strategy for a rare hand injury.
- The findings underscore the efficacy of Kirschner wire fixation in stabilizing complex metacarpal dislocations.
- This approach may offer a valuable alternative for similar traumatic hand injuries, potentially reducing the need for more invasive procedures.