Surgical Management of a Delayed Presentation of Floating First Metacarpal with Multiple Fracture Dislocations: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-09-20 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00260

J Terrence Jose Jerome

引用次数: 0

Abstract

Case: A 23-year-old man presented with a 2-month-old injury involving a volar base metacarpal fracture dislocation of carpometacarpal joint (CMC), metacarpophalangeal joint (MP) dislocation, floating metacarpal, and proximal phalanx base fracture. Treatment involved open reduction of volar base metacarpal's fracture and CMC dislocation, MP joint reduction, collateral ligament repair, and proximal phalanx fixation with plates and screws. A modified Eaton-Littler procedure with flexor carpi radialis tendon enhanced CMC joint stability. At 6 weeks, fractures had healed well, achieving good thumb motion. One-year follow-up showed no arthritis or dislocation.

Conclusion: Thumb injuries are relatively common and can involve complex fractures and dislocations. Open reduction of the delayed fractures, dislocations, and ligament repair and reconstruction can lead to successful outcome.

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第一掌骨漂浮伴多处骨折脱位延迟症的手术治疗：病例报告

病例一名 23 岁的男子在 2 个月前受伤，涉及掌骨基底骨折、腕掌关节（CMC）脱位、掌指关节（MP）脱位、浮动掌骨和近节指骨基底骨折。治疗包括掌骨基底骨折和掌指关节脱位的切开复位、掌指关节复位、副韧带修复以及用钢板和螺钉固定近节指骨。使用腕屈肌腱的改良Eaton-Littler手术增强了CMC关节的稳定性。6周后，骨折愈合良好，拇指活动自如。一年的随访显示没有关节炎或脱位：结论：拇指损伤较为常见，可能涉及复杂的骨折和脱位。结论：拇指损伤较为常见，可能涉及复杂的骨折和脱位，对延迟骨折、脱位进行切开复位，并进行韧带修复和重建，可获得成功的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.