Total Carpometacarpal Dislocations - A case report -

Journal of the Korean Society for Surgery of the Hand 1998;3(1):97-101.
Published online January 1, 1998.

Dong Churl Kim,Sang Soo Kim

전 수근중수골간 관절탈구 -증례 보고-

김동철,김상수

Abstract

Carpometacarpal dislocations are less common than interphalangeal dislocations and carpometacarpal dislocation of all fingers with carpometacarpal dislocation of thumb are extremely rare. Severe associated injuries are often combined. Generalized swelling of the hand may obscure the characteristic clinical deformity and routine radiographs may not show the displacement clearly. We treated by open reduction, Kirschner wires fixation and autogenous cancellous bone graft for total carpometacarpal dislocation in neglected case. Active motion of the fingers was begun in the immediate postoperative period and all immobilization was discontinued at six weeks. The Kirschner wires were removed and the patients were instructed in range of motion exercises. This paper reviews our experience with one case of total carpometacarpal joint dislocation of hand, and we report this case with review of literatures.