Volar radial Carpometacarpal dislocation of the fourth and fifth fingers
1 Resident in the Department of Orthopedy and Traumatology P32 CHU Ibn Rochd, Casablanca, Morocco.
2 Professors in the Department of Orthopedy and Traumatology P32 CHU Ibn Rochd, Casablanca, Morocco.
Case Study
World Journal of Advanced Research and Reviews, 2023, 20(03), 090–094
Publication history:
Received on 20 October 2023; revised on 27 November 2023; accepted on 30 November 2023
Abstract:
Carpometacarpal ligaments converge at the base of the metacarpal. Only very violent trauma can cause carpometacarpal dislocation.
We report the case of a 23-year-old patient admitted for volar dislocation of the 4th and 5th finger with radial displacement. We did proceed to a closed reduction maintained by a splint the evolution was satisfactory with the recuperation of grip force.
The mechanism of the injury can be direct or indirect. The displacement can suggest is there or not a complete rupture of the carpometacarpal ligaments.
After closed reduction, the treatment can be surgical (which is preferred) with k-wire fixation or nonsurgical with splint immobilization with a close follow-up to avoid the loss of the reduction.
Keywords:
Carpometacarpal; Dislocation; Indirect Mechanism; Volar; Closed Reduction.
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0