title: Multiple carpo-metacarpal dislocations.
abstract: Ten patients with closed multiple carpo-metacarpal dislocations have been reviewed. Closed manipulation was found to be successful if performed within two days of the injury. Plaster cast immobilisation supplemented by percutaneous Kirschner wire fixation is recommended to maintain the reduction, due to the unstable nature of the dislocation. Early appropriate treatment of these injuries carries a good prognosis.
authors.affiliation: Hand Surgery Unit, Groote Schuur Hospital, Cape Town, South Africa.
authors.forename: J D
authors.initials: JD
authors.lastname: de Beer
authors.forename: S
authors.initials: S
authors.lastname: Maloon
authors.forename: P
authors.initials: P
authors.lastname: Anderson
authors.forename: G
authors.initials: G
authors.lastname: Jones
authors.forename: M
authors.initials: M
authors.lastname: Singer
mesh_terms: D001864:Bone Wires; D002348:Carpal Bones / Q000293:injuries*; D002370:Casts, Surgical; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D004204:Joint Dislocations / Q000503:physiopathology / Q000601:surgery*; D008663:Metacarpus / Q000293:injuries*; D009068:Movement; D013997:Time Factors; D014143:Traction