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Multiple carpometacarpal dislocations

A Kumar1, D B Olney

  • 1Accident and Emergency Department, Frimley Park Hospital, Camberley, Surrey.

Journal of Accident & Emergency Medicine
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

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Multiple carpometacarpal joint dislocations without fractures are rare hand injuries. Early diagnosis with lateral wrist X-rays and prompt closed reduction in the emergency department led to a favorable outcome.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Carpometacarpal (CMC) joint injuries are infrequent in hand trauma.
  • Multiple CMC joint dislocations without associated fractures represent a rare subset of these injuries.

Observation:

  • A case of multiple CMC joint dislocations without fractures is presented.
  • Swelling of the hand can obscure the diagnosis of CMC injuries.
  • A lateral radiograph of the wrist is crucial for diagnosing suspected CMC joint injuries.

Findings:

  • The presented case highlights the rarity of multiple CMC dislocations without fractures.
  • Timely diagnosis facilitated by lateral wrist radiography is essential.
  • Successful closed manipulation was performed in the accident and emergency (A&E) department.

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Implications:

  • This case underscores the importance of considering CMC dislocations even without obvious fractures.
  • Prompt diagnosis and non-operative management can lead to good functional outcomes in these rare injuries.
  • Radiographic evaluation, particularly lateral views, is critical for accurate diagnosis and treatment planning in hand trauma.