The various patterns of dislocation injuries at the carpometacarpal joints: A case series and brief review of literature with regards to the main topics

Abstract

Schmidt I (2018) The various patterns of dislocation injuries at the carpometacarpal joints: A case series and brief review of literature with regards to the main topics

Update to the difficulties in diagnostic and therapeutic management of the rare carpometacarpal joint II-V dislocation injuries: Case presentation and review of literature

“…Therefore, it is recommended that the K-wires should not cross the midcarpal joint, and additionally in order to avoid a breakage of the K-wires if wrist motion is freed. The difference in the therapeutic approach to the CMCJ I dislocation injury is that here an open reduction combined with a ligamentous repair should be recommended in every instance in order to obtain a stable thumb's circumduction [Figures 5A-F] [33].…”

“…However, despite sufficient management of CMCJ dislocation injuries 43% of patients reported residual pain and impaired function, and 13% of patients can not return to full work and sporting activities [36]. For persisting chronic and painful CMCJ instability or symptomatic arthritis CMCJ fusion will be inevitable [Figures 6A-D] [33,37].…”