Acute pure Trapezio-metacarpal joint dislocation: A rare case report and literature review

Omar HADAD, Imad JADIB *, Isamil Hssain, Charf Eddine ELKASSIMI, Abderrahim RAFAOUI, Mohamed RAHMI and Mohamed RAFAI

Department of Orthopedics and Trauma-Surgery P32, University Hospital Center IBN Rochd – Casablanca, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(03), 966–970
Article DOI: 10.30574/wjarr.2024.22.3.1792
 
Publication history: 
Received on 05 May 2024; revised on 13 June 2024; accepted on 16 June 2024
 
Abstract: 
Pure dislocation of the trapezio-metacarpal joint is a rare lesion, The mechanism is generally indirect, Untreated or inadequately treated, they are the cause of instability in this joint, which inevitably leads to rhizarthrosis
we report a case of a 30-year-old male presented at the emergency department for a right pure trapezio-metacarpal jointone hour after injuring his right thumb in a motorbike accident. In the operating theatre the trapezio-metacarpal dislocation was first reduced using an external manoeuvre and then fixed using an ISELIN-type intermetacarpal pin. At the last post-operative follow-up at 14 months the patient had a good fonctional outcoum compare to the other hand. 
 
Keywords: 
Thumb; Dislocation; Trapezio-metacarpal joint; ISELIN technique; Surgical approach
 
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