Pinning-in treatment according to the ISELIN technique of a pure carpo-metacarpal dislocation

Omar Fadili 1, *, Echoual Souhail 1, Abdellah Chrak 1, Mohamed Laffani 1, Bienvenu Jean Celien Okouango 1 and Mustapha Fadili 2

1 Orthopedic Surgeon, Traumatology-Orthopedic and Reconstructive Surgery Department, Ibn Rochd University Hospital, Casablanca, Morocco.
2 Head of Department, Traumatology-Orthopedic and Reconstructive Surgery Department, Ibn Rochd University Hospital, Casablanca, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2020, 10(02), 071–074
Article DOI: 10.30574/wjarr.2021.10.2.0200
 
Publication history: 
Received on 30 March 2021; revised on 04 May 2021; accepted on 07 May 2021
 
Abstract: 
Trapezo-metacarpal dislocations are rare, accounting for only 1% of hand trauma. The mechanism is generally indirect by axial compression and retropulsion (Kindle theory) or by shearing (Monsche theory). We report a clinical case of this lesion which occurred in the context of multiple trauma. Due to the rarity of this entity, this dislocation went unnoticed during the first assessment in a 28-year-old patient admitted as part of a multiple trauma by road accident and whose mechanism of injury is poorly understood. The aim of this study is to highlight the place of pinning-in according to the ISELIN technique in the treatment of this rare entity and to assess the functional hand’s prognosis after treatment.
 
Keywords: 
Trapezo-metacarpal; dislocation; ISELIN pinning; ligamentoplasty; hand surgery
 
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