title: [Treatment strategy for carpometacarpal fracture dislocation].
abstract: Carpometacarpal (CMC) fracture dislocations of the 2nd through 5th ray are rare injuries whose extent is regularly underestimated in the initial radiographic evaluation of the hand. Obtaining a computed tomography scan is imperative due to the radiographic underrepresentation of the full bone and joint injury. Restoration of bone and joint anatomy of the affected region is of paramount import to prevent joint deterioration and loss of hand durability and dexterity. Early surgical intervention can lead to good functional results. Different operative treatment strategies exist with a common approach being Kirschner wire, screw or plate fixation after closed or open fracture reduction and joint relocation.
authors.affiliation: Klinik für Unfall- und Handchirurgie, Heinrich-Heine-Universität, Universitätsklinikum Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland.
authors.forename: S V
authors.initials: SV
authors.lastname: Gehrmann
authors.forename: J-P
authors.initials: JP
authors.lastname: Grassmann
authors.forename: J
authors.initials: J
authors.lastname: Schneppendahl
authors.forename: R A
authors.initials: RA
authors.lastname: Kaufmann
authors.forename: J
authors.initials: J
authors.lastname: Windolf
authors.forename: M
authors.initials: M
authors.lastname: Hakimi
authors.forename: M
authors.initials: M
authors.lastname: Schädel-Höpfner
mesh_terms: D052737:Carpometacarpal Joints / Q000293:injuries* / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*