Dorsal Second and Third Carpometacarpal Joint Dislocation: A Case Report

Journal of surgery and research Pub Date : 2022-01-01 DOI:10.26502/jsr.10020227

Charalampos Pitsilos, Theofylaktos Kyriakidis, Konstantinos Chitas, K. Ditsios

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Abstract

Background Carpometacarpal joint dislocations are uncommon hand injuries occurring in less than 1% of hand trauma. On routine postero-anterior view, asymmetry at the carpometacarpal joints should raise suspicion of possible subtle injury, which can be confirmed with CT scan. In literature, there is a scarcity of published cases and the optional treatment is controversial. Case report A 28-year-old man presented with dorsal dislocation of the second and third carpometacarpal joints. After initial closed reduction, the computerized tomography scan revealed residual dorsal subluxation. The patient was successfully treated with closed reduction under fluoroscopy and percutaneous pinning. In the followup full range of motion was gained and there were no recurrence or signs of degenerative changes. Conclusion Closed reduction of traumatic dorsal second and third carpometacarpal dislocation may be associated with incomplete reduction. Reduction under fluoroscopy and percutaneous pinning may be more suitable for the J Surg Res 2022; 5 (2): 346-351 DOI: 10.26502/jsr.10020227 Journal of Surgery and Research Vol. 5 No. 2 June 2022. [ISSN 2640-1002] 347 treatment of these injuries. Level of Evidence: V

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第二、第三掌背关节脱位1例

背景:掌关节脱位是一种罕见的手部损伤，发生率不到1%。在常规的后前位检查中，腕掌关节的不对称应引起可能的细微损伤的怀疑，这可以通过CT扫描证实。在文献中，发表的病例很少，可选择的治疗方法也存在争议。病例报告:一名28岁男性患者表现为第二和第三掌关节背侧脱位。初始闭合复位后，计算机断层扫描显示残余的背侧半脱位。患者在透视和经皮钉钉下进行闭合复位成功治疗。在随访中获得了全活动范围，没有复发或退行性改变的迹象。结论外伤性第二、第三掌背脱位闭合复位可能与复位不完全有关。透视下复位和经皮钉钉可能更适合J外科杂志2022;5 (2): 346-351 DOI: 10.26502/jsr.10020227《外科与研究杂志》第5卷第2期，2022年6月。[ISSN 2640-1002] 347治疗这些损伤。证据等级:V

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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Journal of surgery and research

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