Simultaneous dislocations of the five carpometacarpal joints

Kneife, F.

doi:10.1016/s0020-1383(02)00098-0

Cited by 13 publications

(9 citation statements)

References 5 publications

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“…Elle intéresse l'adulte jeune, souvent secondaire à des traumatismes très violents. Typiquement, il s'agit d'un motocycliste qui subit un traumatisme avec un fort impact sur le coté palmaire des métacarpiens contre le guidon [1]. L'examen clinique retrouve toujours une douleur et une déformation de la main qui peut être masquée par un oedème important, celui ci est à l'origine d'un syndrome de loge particulièrement au niveau de la main, d'où l'intérêt de la réduction en urgence [1,6].…”

Section: Discussionunclassified

“…Typiquement, il s'agit d'un motocycliste qui subit un traumatisme avec un fort impact sur le coté palmaire des métacarpiens contre le guidon [1]. L'examen clinique retrouve toujours une douleur et une déformation de la main qui peut être masquée par un oedème important, celui ci est à l'origine d'un syndrome de loge particulièrement au niveau de la main, d'où l'intérêt de la réduction en urgence [1,6]. Sur le plan thérapeutique, la rareté de cette lésion fait que nous n'avons pas pu retrouver une attitude commune chez les différents auteurs ; le traitement chirurgical est souvent nécessaire, la voie d'abord postérieure est admise par tous les auteurs, la stabilisation par broches des interlignes carpométacarpienne reste la meilleure technique [1,2].…”

Section: Discussionunclassified

“…Le premier cas a été décrit par Rivington en 1873 [1]. Depuis, seuls 18 cas ont été rapportés dans la litté-rature.…”

Section: Introductionunclassified

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La luxation carpométacarpienne antérieure complète des doigts. À propos d'un cas

Latifi

Chafik

Mahtar

et al. 2005

Chirurgie de la Main

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Section: Discussionunclassified

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La luxation carpométacarpienne antérieure complète des doigts. À propos d'un cas

Latifi

Chafik

Mahtar

et al. 2005

Chirurgie de la Main

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“…All the literature support that CMC dislocations are by a variety of different mechanisms which involves significant amount of force being transmitted through the metacarpals and carpals which includes high velocity trauma, crush injuries, fall from height on outstretched hand, but occur most commonly following motorbike accidents classically as a result of firmly gripping the handles prior to impact. 2 Most of the CMC joints dislocations are missed at initial examinations due to urgent attention to associated more severe injuries on other parts of body and swelling and abrasions over affected hands which makes the deformity obscure. Overlaps of bones on standard lateral X-ray may also obscure the accurate delineation of the injury pattern.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes in management of dislocation of carpometacarpal joints of hand: a rare orthopaedic presentation

et al. 2018

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Background: Dislocation of carpo-metacarpal (CMC) joints especially involving the 2nd and 3rd or paired dislocations, presents a rare pattern of orthopaedics hand injuries. They are associated with high energy trauma usually involving motorbike accidents. Severe soft tissue inflammation over the affected hand and associated injuries often makes detection of these fractures difficult. They require prompt management at presentation. Failure to be diagnosed and treated at early stage leads to joint stiffness, restrictions of wrist movement, deformity and sometimes ruptures of tendons crossing the wrist. Most of them require open reduction and internal fixation for stabilization. The objective of the study was to clinically evaluate outcomes in management of carpometacarpal joint dislocations.Methods: We prospectively studied 6 cases of CMC dislocation presenting at average of 1week from the original injury. All were clinically and radiologically evaluated. 3 cases were managed with open reduction and internal fixation with K wire and 1with closed manipulation and percutaneous k wire fixation and 1 case by arthrodesis of CMC joint. Functional assessment was done with Quick DASH score at 6 weeks, 3 months, 6 months and 1 year.Results: All the patients went on to have good functional recovery. The average quick DASH score showed improvement from 77.39 to 4.07 over 1 year follow-up. Conclusions: Careful and meticulous examinations of hands are necessary in high velocity trauma cases to avoid missing diagnosis of CMC dislocation. ORIF remains the gold standard treatment which can also be used for cases presenting late, followed by aggressive post-op physiotherapy can lead to excellent recovery of hand function.

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“…[1][2][3][4][5] These injuries are inherently unstable and closed reduction may need to be supplemented by percutaneous pinning.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Dislocations of the Carpometacarpal Joints: A Case Report

2005

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Simultaneous dislocations of the five carpometacarpal joints

Cited by 13 publications

References 5 publications

La luxation carpométacarpienne antérieure complète des doigts. À propos d'un cas

La luxation carpométacarpienne antérieure complète des doigts. À propos d'un cas

Clinical outcomes in management of dislocation of carpometacarpal joints of hand: a rare orthopaedic presentation

Simultaneous Dislocations of the Carpometacarpal Joints: A Case Report

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