title: Fracture-dislocations of the carpometacarpal joints of the ring and little finger.
abstract: We report the functional and radiographic results of 16 patients with fracture-dislocations of the ring and little finger carpometacarpal joints and 23 cases with fracture-dislocations of only the little finger carpometacarpal joint treated between 2006 and 2012. The above two cohort populations of patients were treated with either open reduction and pin fixation or closed reduction and pin fixation. These patients were followed for a mean of 13 months (range 9 to 48). The DASH scores for patients with fracture-dislocations of the ring and little finger carpometacarpal joints were 6.0 and of the little finger carpometacarpal joint 7.2. We found no functional differences in term of DASH scores after treatment between patients with fracture-dislocations of only the little finger carpometacarpal joint and both the ring and little finger carpometacarpal joints.
authors.affiliation: Department of Trauma and Hand Surgery, Heinrich-Heine Universität, Düsseldorf, Germany.
authors.forename: S V
authors.initials: SV
authors.lastname: Gehrmann
authors.affiliation: Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Kaufmann
authors.affiliation: Department of Trauma and Hand Surgery, Heinrich-Heine Universität, Düsseldorf, Germany jan.grassmann@med.uni-duesseldorf.de.
authors.forename: J P
authors.initials: JP
authors.lastname: Grassmann
authors.affiliation: Department of Trauma and Hand Surgery, Heinrich-Heine Universität, Düsseldorf, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Lögters
authors.affiliation: Department of Trauma and Hand Surgery, Heinrich-Heine Universität, Düsseldorf, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Schädel-Höpfner
authors.affiliation: Department of Trauma and Hand Surgery, Heinrich-Heine Universität, Düsseldorf, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Hakimi
authors.affiliation: Department of Trauma and Hand Surgery, Heinrich-Heine Universität, Düsseldorf, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Windolf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D052737:Carpometacarpal Joints / Q000293:injuries*; D015331:Cohort Studies; D050278:Finger Phalanges / Q000293:injuries*; D005592:Fracture Fixation; D018737:Hand Strength; D006801:Humans; D057072:Intra-Articular Fractures / Q000150:complications / Q000601:surgery*; D004204:Joint Dislocations / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D016896:Treatment Outcome; D055815:Young Adult
keywords: Carpometacarpal fracture; fracture-dislocation; joints; outcomes; percutaneous fracture fixation