Simultaneous bilateral third to fifth carpometacarpal joint dislocations; a boxing first?

Davis, Marcus; Erel, Ertan; Webb, John

doi:10.1007/s00238-010-0424-6

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…These injuries more commonly occur as a result of high-energy trauma as in our case (parachuting accident) while the predominant mechanism is direct force in the axial direction which causes secondary flexion or extension forces. The direction of CMC joint dislocation may be volar or dorsal depending on the direction of the force, with dorsal dislocations being the most common [5,9,10]. The CMC joint is the only joint not having a gliding configuration but instead is a modified saddle-shaped joint.…”

Section: Discussionmentioning

confidence: 99%

“…They represent less than 1% of all injuries to the hand and wrist regions [ 3 – 6 ]. Additionally, owing to extensive swelling and overlapping of bones on the radiograph, up to 70% of them are missed or misdiagnosed [ 2 , 7 – 9 ]. These injuries more commonly occur as a result of high-energy trauma as in our case (parachuting accident) while the predominant mechanism is direct force in the axial direction which causes secondary flexion or extension forces.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Carpometacarpal Dislocation of the Third to Fifth Fingers and an Associated Fracture of the Hamate in a Military Paratrooper

Kalinterakis

Antonogiannakis

Abdi

et al. 2020

Case Reports in Orthopedics

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Multiple carpometacarpal dislocations with a simultaneous fracture of the hamate represent less than 1% of all injuries to the hand and wrist regions, with a scarcity of published cases. These injuries usually require a great force, and diagnosis can be missed or delayed because of the high likelihood of other severe concomitant injuries. We report a case of acute closed dislocation of the third through fifth carpometacarpal joints and an associated fracture of the hamate in a military paratrooper. The injury was caused by a wrong landing technique during parachuting. The patient was managed with primary surgical repair, and after a six-month follow-up, he has excellent functional results. The fact that both this clinical entity and the mechanism of injury are very unusual a high index of suspicion is needed, especially for orthopedic surgeons working in military hospitals. Additionally, given that there is a paucity of published cases and optional treatment is controversial, this study corroborates the superiority of surgical repair in a long-term basis.

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Section: Discussionmentioning

confidence: 99%