Öz
Introduction: 5th carpometacarpal (CMC) joint dislocations of the wrist region are very rare and easily overlooked injuries. In this type of injury, which causes serious functional problems in the hand if not treated appropriately, closed methods are generally used in the treatment. In this study, we present a case with fracture-dislocation of the 5th CMC joint.
Case: Fracture-dislocation of the 5th CMC joint of a 25-year-old patient who was admitted to the emergency department due to wrist pain was not noticed. The diagnosis was made during the follow-up of the patient, and the joint was reduced with closed method and fixed with a K wire. No serious problems were encountered in the patient's controls.
Conclusion: Undiagnosed 5th CMC joint dislocation disrupts the transverse and longitudinal arches of the hand, so the patient has a weak and painful gripping function. Radiological findings may be unclear on anterior-posterior and lateral views, and additional images may be obtained if in doubt.
Anahtar Kelimeler
Carpometacarpal dislocation missed injury fracture closed reduction
Kaynakça
- 1. Gaheer RS, Ferdinand RD. Fracture dislocation of carpometacarpal joints: a missed injury. Orthopedics. 2011;18:399.
- 2. Syed AA, Agarwal M, Giannoudis PV, Matthews SJE. Dorsal hamatometacarpal fracture-dislocation in a gymnast. Br J Sports Med. 2002;36:380-2.
- 3. Elghoul N, Jalal Y, Bouya A, Zine A, Jaafar A. Pure Isolated Dorsal Hamatometacarpal Dislocation in a Rider: A Case Report and Review of Literature. J Orthop Case Rep. 2018;8:29-31.
- 4. Metikala S, Herickhoff P. Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature. Cureus. 2020;12:e12310.
- 5. Beekhuizen S, de Witte PB, Rutgers M, Ohanis D. Isolated ulnopalmar dislocation of the fifth carpometacarpal joint. BMJ Case Rep. 2018;2018:bcr2018225363.
- 6. Cobb WA, Dingle L, Adami RZ, Rodrigues J. Management of fracture-dislocations of the little finger carpometacarpal joint: a systematic review. J Hand Surg Eur Vol. 2018;43:530-8.
- 7. Henderson JJ, Arafa MA. Carpometacarpal dislocation. An easily missed diagnosis. J Bone Joint Surg Br. 1987;69:212-4.
- 8. Miyamoto H, Adi M, Taleb C, Zemirline A, Bodin F, Gay A, et al. Fifth carpometacarpal fracture dislocations fixed with Meta-HUS ®: a series of 31 cases. Eur J Orthop Surg Traumatol. 2015;25:477-82.
- 9. Pundkare GT, Patil AM. Carpometacarpal Joint Fracture Dislocation of Second to Fifth Finger. Clin Orthop Surg. 2015;7:430-5.
- 10. Berg EE, Murphy DF. Ulnopalmar dislocation of the fifth carpometacarpal joint-successful closed reduction: review of the literature and anatomic reevaluation. J Hand Surg Am. 1986;11:521-5.
Öz
Kaynakça
- 1. Gaheer RS, Ferdinand RD. Fracture dislocation of carpometacarpal joints: a missed injury. Orthopedics. 2011;18:399.
- 2. Syed AA, Agarwal M, Giannoudis PV, Matthews SJE. Dorsal hamatometacarpal fracture-dislocation in a gymnast. Br J Sports Med. 2002;36:380-2.
- 3. Elghoul N, Jalal Y, Bouya A, Zine A, Jaafar A. Pure Isolated Dorsal Hamatometacarpal Dislocation in a Rider: A Case Report and Review of Literature. J Orthop Case Rep. 2018;8:29-31.
- 4. Metikala S, Herickhoff P. Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature. Cureus. 2020;12:e12310.
- 5. Beekhuizen S, de Witte PB, Rutgers M, Ohanis D. Isolated ulnopalmar dislocation of the fifth carpometacarpal joint. BMJ Case Rep. 2018;2018:bcr2018225363.
- 6. Cobb WA, Dingle L, Adami RZ, Rodrigues J. Management of fracture-dislocations of the little finger carpometacarpal joint: a systematic review. J Hand Surg Eur Vol. 2018;43:530-8.
- 7. Henderson JJ, Arafa MA. Carpometacarpal dislocation. An easily missed diagnosis. J Bone Joint Surg Br. 1987;69:212-4.
- 8. Miyamoto H, Adi M, Taleb C, Zemirline A, Bodin F, Gay A, et al. Fifth carpometacarpal fracture dislocations fixed with Meta-HUS ®: a series of 31 cases. Eur J Orthop Surg Traumatol. 2015;25:477-82.
- 9. Pundkare GT, Patil AM. Carpometacarpal Joint Fracture Dislocation of Second to Fifth Finger. Clin Orthop Surg. 2015;7:430-5.
- 10. Berg EE, Murphy DF. Ulnopalmar dislocation of the fifth carpometacarpal joint-successful closed reduction: review of the literature and anatomic reevaluation. J Hand Surg Am. 1986;11:521-5.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Case Report |
| Yazarlar | |
| Erken Görünüm Tarihi | 27 Eylül 2022 |
| Yayımlanma Tarihi | 30 Eylül 2022 |
| Gönderilme Tarihi | 23 Nisan 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 13 Sayı: 3 |
