Simultaneous dislocations of the carpometacarpal and metacarpophalangeal joints of the thumb

Ibrahim, Siti Fatimah; Noor, Mohd Ali Mohd

doi:10.1016/0020-1383(93)90062-b

Cited by 16 publications

(16 citation statements)

References 4 publications

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“…Simultaneous double thumb dislocation seems to be a very rare injury [1][2][3][4][5][6]; it was first described by Moore in 1978 and later named ''floating thumb metacarpal'' by Drosos et al [2].…”

Section: Discussionmentioning

confidence: 99%

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Floating thumb metacarpal in a motorcyclist: A case report

Messaoudi

Errhaimini

Ghoubach

et al. 2015

Chirurgie de la Main

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Section: Discussionmentioning

confidence: 99%

“…Their treatment is very controversial. In stable closed reductions, some suggest conservative treatment with cast immobilization to maintain the reduction, but there is a risk of long-term instability [1,[3][4][5][6][7][8][9][10][11]. Other authors prefer Kirschner-wire stabilization independent of the reduction method [2,3,12,13].…”

Section: Discussionmentioning

confidence: 99%

Floating thumb metacarpal in a motorcyclist: A case report

Messaoudi

Errhaimini

Ghoubach

et al. 2015

Chirurgie de la Main

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“…The most injured bones could [19], the firth metacarpal [20], the second metacarpal [21], the third metacarpal [22], the fourth metacarpal [35], the fifth metatarsal [35], the isolated ulna [23], the fibula [24], the first phalanx [25], the second phalanx [26], etc. The second group with a freed group of bones includes the forearm (radius-ulna complex [27] [28] or radius-ulna-lunatum complex [15] [29] and the leg (tibia-fibula-talus complex) [30].…”

Section: Epidemiologymentioning

confidence: 99%

Traumatic Floating Bone. About 11 Cases and a Literature Review

Kasse¹,

Diallo²,

Diao³

et al. 2017

OJO

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Introduction: Floating bone injury or bipolar dislocation is a concurrent dislocation at both ends of a long bone or a flat bone. It is an exceptional injury. We report 11 consecutives cases of floating bones. Objectives: The aim of the study is to analyze the frequency, the mechanism of injury and clinical forms of floating bones, and to present the results of their management. Material and Methods: A ten years ongoing retrospective study was held in four trauma departments. Eleven cases of floating bones were identified. The floating bones characteristics such as the injured bone, the patient age and sex, the mechanism of injury, the dislocations directions, the associated complications, the treatment and the outcome were studied. Results: Nine male and two female patients, with a mean age of 37 years [19 -65 years range] presented a concurrent bipolar dislocation of one bone or a group of bones. They sustained a road traffic accident (n = 5), a workplace accident (n = 3), a fall from height (n = 2), and a sport accident (n = 1). The clavicle (n = 3) and the first metatarsal (n = 3) were the most frequently involved. The others floating bones were the radius-ulna complex (n = 1), the radius-lunatum complex (n = 1), the first metacarpal (n = 1), the first phalanx (n = 1) and the femur (n = 1). The floating bones ends displacement occurred in the sagittal plane (the forearm, the femur, the first phalanx and the first metatarsal) and in the horizontal plane (the clavicle, the first metatarsal and the first metacarpal). We defined direction displacements as bidirectional asymmetric (n = 10) or unidirectional symmetric (n = 1). Associated complications were fractures (wrist, hip, tarso-metatarsal joints) and wounds (fingers, metatarso-phalangeal joint). Dislocations were treated conservatively (n = 5) and surgically (n = 17) with excellent results (n = 13/16 joints). Three patients were lost of view. Conclusion: Our study described the characteristics of How to cite this paper: Kasse, A.N.,

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“…Double dislocations of the thumb have been described in a few case reports; 1,2,8 but our review of literature revealed only two case reports with a combination of carpometacarpal (CMC) and metacarpophalangeal (MCP) dislocations in the thumb. 3, 6 We report a case of simultaneous dislocation of CMC and MCP joints in a thumb in which the CMC dislocation was initially missed. This delayed recognition of the dislocation resulted in a suboptimal functional outcome.…”

Section: Introductionmentioning

confidence: 99%