[Fracture-dislocation of the second carpometacarpal joint. Case report and review of the literature].
A 26-year-old man was involved in a car crash then he presented an isolated trauma of the hand. We found out a dorsal dislocation of the second carpometacarpal joint with trapezoid fracture and a Rolando fracture. In emergency, closed reduction with percutaneous wires to stabilize, was performed. In the same time, the Rolando fracture was treated by internal fixation (plate). In a second time, after computerized tomography of the carpus, the trapezoid was reduced through a dorsal incision and held with two Kirschner-wires. At last follow-up one year after injury, the result was good. All movements of the wrist and fingers were full and pain free. Thumb index pinch and grasp were approximately 80% those of the uninjured hand. The mechanisms of injury, anatomic factors and management of seventy-one cases of similar trauma (included at least a dislocation of the second carpometacarpal joint) were reviewed in the literature.
Benoit
O
O
Service d'orthopédie-traumatologie, groupe hospitalier de l'Institut catholique de Lille, Centre hospitalier Saint-Vincent, boulevard de Belfort, BP 387, 59020 Lille, France.
Polvèche
G
G
Barbier
J
J
Théry
D
D
D000063:Accidents, Traffic; D000328:Adult; D001858:Bone Nails; D005592:Fracture Fixation / Q000379:methods*; D005596:Fractures, Closed / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006230:Hand Injuries / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D004204:Joint Dislocations / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D008663:Metacarpus / Q000293:injuries*; D010146:Pain; D016059:Range of Motion, Articular; D014057:Tomography, X-Ray Computed