Divergent fracture-dislocation of the second carpometacarpal joint and the three ulnar carpometacarpal joints.
A case of divergent dislocation between the second metacarpal and the three ulnar metacarpals is presented. Severe edema, fragments of the trapezoid, and interposed volar ligaments prevented successful closed reduction. Open reduction enabled restoration of the carpometacarpal complex with excellent recovery of hand function.
Kumar
R
R
Department of Orthopedics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India.
Malhotra
R
R
D000328:Adult; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D008297:Male; D008663:Metacarpus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed