[Carpometacarpal fractures and fracture dislocations of rays 2-5].
BACKGROUND
Fractures and fracture dislocations of carpometacarpal joints 2-5 may be easily overlooked. This can be explained by often subtle clinical and radiographic signs. In case of clinical suspicion with apparently normal standard x-rays, a computed tomography with thin slices should be promptly performed. Therapy is predominantly operative and aims at anatomic reduction and reconstruction of joint congruity.


METHODS
To facilitate treatment decisions, especially concerning closed or open fixation, we have defined 3 pathomorphological patterns (types I-III). Decision criteria are sagittal or coronal plane of fracture, degree of destruction of the articular surface, and radial or ulnar location of the injury. Following operative therapy, early mobilization of all finger joints should be performed.
Abteilung für Handchirurgie und Rekonstruktive Mikrochirurgie, Heinrich-Braun-Klinikum Zwickau, Karl Keil Straße 35, 08060, Zwickau, Deutschland, lueninghake.frank-johannes@hbk-zwickau.de.
F J
FJ
Lüninghake
S
S
Yarar
J
J
Rueger
M
M
Schädel-Höpfner
D001182:Arthroscopy / Q000379:methods; D052737:Carpometacarpal Joints / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D005081:Exercise Therapy / Q000379:methods*; D050723:Fractures, Bone / Q000473:pathology / Q000628:therapy*; D050276:Hand Bones / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000628:therapy*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome