title: [Volar dislocation of four ulnar metacarpals: one case report].
abstract: We report a case of volar dislocation of four ulnar carpometacarpals. It's a very rare injury, especially as it affects all long fingers, it is volar and has no fractures. The treatment consisted in open-reduction with pinning carpometacarpal according to intraoperative stability. No complications was noted. The follow-up was a radiological evaluation (pain, strength, mobility) between 6th week and 6th month. The recovery was complete at 6 months without pain. We believe that open reduction allows carpometacarpal osteosynthesis to be the less invasive as possible, depending on the stability visualized and thus can reduce stiffness and residual pain.
authors.affiliation: Service de chirurgie orthopédique et traumatologique, CHU Jean-Minjoz, boulevard Flemming, 25000 Besançon, France. huard.sonia@gmail.com
authors.forename: S
authors.initials: S
authors.lastname: Huard
authors.forename: T
authors.initials: T
authors.lastname: Zappaterra
authors.forename: R
authors.initials: R
authors.lastname: Chastel
authors.forename: L
authors.initials: L
authors.lastname: Bellidenty
authors.forename: P
authors.initials: P
authors.lastname: Garbuio
authors.forename: L
authors.initials: L
authors.lastname: Obert
mesh_terms: D000328:Adult; D052737:Carpometacarpal Joints / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D053401:Palmar Plate; D014457:Ulna