title: Floating thumb with double dislocation of carpometacarpal and metacarpo-phalangeal joints.
abstract: BACKGROUND
  Double dislocations of carpometacarpal and metacarpo-phanlageal joints are rare. We report an unusual case of simultaneous dislocation of both CMC and MCP joints in the thumb.
  
  
  METHODS
  A 31 year old male was admitted following a road traffic accident. He was complaining of pain and deformity of right thumb. The X-ray examination revealed simultaneous dislocation of both CMC and MCP joints. He underwent closed manipulative reduction and percutaneous K wire fixation. The wires were removed after six weeks. After a course of physiotherapy he regained full range of pain free movements.
  
  
  CONCLUSIONS
  The incidence of simultaneous dislocation of both CMC and MCP joints in thumb are associated with high energy injuries. The options of treatment are conservative with cast immobilisation and serial X-rays or operative including closed manipulative reduction and K wire fixation or open reduction and internal fixation.
  
  
  CONCLUSIONS
  The option of treating this rare injury with closed manipulative reduction and percutaneous K wiring gives excellent and predictable results.
authors.affiliation: Department of Trauma and Orthopaedics, Queen Elizabeth Hopsital, Gateshead NE9 6SX, UK. Electronic address: asrajeev18@gmail.com.
authors.forename: Aysha
authors.initials: A
authors.lastname: Rajeev
authors.affiliation: Department of Trauma and Orthopaedics, Queen Elizabeth Hopsital, Gateshead NE9 6SX, UK.
authors.forename: Soliman
authors.initials: S
authors.lastname: Noureldin
authors.affiliation: Department of Trauma and Orthopaedics, Queen Elizabeth Hopsital, Gateshead NE9 6SX, UK.
authors.forename: David
authors.initials: D
authors.lastname: Graham
keywords: Carpo-metacarpophangeal; Dislocation; Double; Metacarpo-phanlangeal