title: Divergent dislocation of the ring and little finger carpometacarpal joints--a rare injury pattern.
abstract: Hand injuries due to longitudinal forces in the line of the metacarpals demonstrate unusual dislocation patterns. We describe a case of volar intra-articular fracture dislocation of the ring finger carpometacarpal joint in association with a pure dorsal dislocation of the little finger carpometacarpal joint. Open reduction supplemented with Kirschner wire fixation restored normal carpometacarpal joint anatomical relations and achieved an excellent clinical result.
authors.affiliation: Cork University Hospital, Cork, Ireland. dillonjp@o2.ie
authors.forename: John
authors.initials: J
authors.lastname: Dillon
authors.forename: John
authors.initials: J
authors.lastname: Street
authors.forename: Karrupiah
authors.initials: K
authors.lastname: Mahalingham
mesh_terms: D000328:Adult; D001864:Bone Wires; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D015601:Injury Severity Score; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008662:Metacarpophalangeal Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery