Isolated trapezius-metacarpal dislocation is a rare lesion. Although it is usually easily reducible, the high risk of secondary instability poses a major challenge in the management of this type of injury. There is controversy over what the treatment of choice is. Most of the authors opt for conservative treatment by closed reduction and immobilization with the antebrachial splint, using the stabilization of the joint with Kirschner needles (AK) if necessary. On the other hand, surgical treatment with ligamentoplasty has also been described. The objective of this paper is to present a clinical case of trapezius-metacarpal dislocation and its definitive treatment with repair with suture anchors (Mini TightRope), as well as to review the literature.

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