title: Volar dislocation of the fourth and fifth carpometacarpal joints: a case report and review of the literature.
abstract: We report the treatment of a volar dislocation to the fourth and fifth carpometacarpal (CMC) joints. Plain radiographs were used to evaluate this unusual injury before surgery. Open reduction and internal fixation using K-wires restored the normal anatomic relationships of the CMC joints. This very rare injury is often difficult to recognize. A careful neurologic assessment of the patient is a necessity, as well as obtaining proper radiographs of the hand. A review of the literature is presented.
authors.affiliation: Department of Hand and Upper Extremity Surgery, The Hospital for Special Surgery, New York, NY, USA.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Prokopis
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Weiland