[Total carpometacarpal dislocations. Two case reports].
We report two cases of carpometacarpal dislocation of the four long fingers. They were diagnosed in emergency and treated by open reduction and stabilization by intramedullary pinning. They were followed for an average of 30 months. The results were rated good, and the two patients had an excellent grip strength, no deformity, no instability, no disabling or limited prehension. Dislocation or fracture-dislocation of the carpometacarpal joints are uncommon injuries. The diagnosis can be easily missed. The authors recommend closed or open reduction and fixation by pins and immobilisation in a plaster cast. The results was good in the two cases without complications.
Ameziane
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Service traumatologie, orthopédie CHU Fes, cité Ibn-Sina Imm. 5, App. 10 Agdal Rabat, Maroc.
D000328:Adult; D002348:Carpal Bones / Q000473:pathology; D005384:Finger Joint / Q000473:pathology / Q000601:surgery*; D005592:Fracture Fixation / Q000379:methods*; D005596:Fractures, Closed / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D016268:Internal Fixators; D004204:Joint Dislocations / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D007593:Joint Instability; D008297:Male; D008663:Metacarpus / Q000473:pathology; D008875:Middle Aged; D016896:Treatment Outcome