Multiple carpometacarpal dislocations and an ipsilateral scapho-trapezium-trapezoid fracture-dislocation: a rare pattern of injury.
We report a rare case of simultaneous dorsal dislocation of 4 ulnar carpometacarpal joints and dorsoradial dislocation of the trapezium with an associated fracture of the scaphoid tuberosity. The injuries were diagnosed early and treated successfully with closed reduction and transfixation using Kirschner wires. The functional results were excellent at 17-month follow-up.
Kirkham
S G
SG
Westmead Hospital, Sydney, Australia. vanstu@yahoo.com
Gray
R J
RJ
D000063:Accidents, Traffic; D000328:Adult; D001864:Bone Wires; D002348:Carpal Bones / Q000293:injuries*; D050723:Fractures, Bone / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries*; D021361:Scaphoid Bone / Q000293:injuries*; D014954:Wrist Injuries / Q000175:diagnosis* / Q000601:surgery*