title: Volar dislocation of the index, middle, and ring carpometacarpal joints: a review.
abstract: Dislocation of the index, middle, and ring carpometacarpal joints is an extremely rare injury pattern, with a paucity of published cases. We reviewed the literature and analyzed our own experience to familiarize clinicians with this rare condition through discussion of its clinical presentation, diagnostic considerations, and management. We present the rare case of volar-radial dislocation of the index, middle, and ring carpometacarpal joints in a 61-year-old woman. She underwent a closed reduction with percutaneous Kirschner wire fixation and regained a painless full range of motion after 12 weeks. Dislocation of a carpometacarpal joint is an uncommon injury and can be easily missed. A lateral roentgenogram is essential to accurately identify this injury. Reduction should be achieved as soon as possible, and maintaining reduction with internal fixation is often required due to the acquired instability of the joint. A full return to preinjury status can be expected in most cases.
authors: Department of Plastic and Reconstructive Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; the Department of Plastic and Reconstructive Surgery, Gold Coast University Hospital, Gold Coast, Queensland, Australia; and the Department of Orthopaedic Surgery, Cairns Hospital, Cairns, Queensland, Australia.
authors: Nathan
authors: N
authors: Schaefer
authors: Department of Plastic and Reconstructive Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; the Department of Plastic and Reconstructive Surgery, Gold Coast University Hospital, Gold Coast, Queensland, Australia; and the Department of Orthopaedic Surgery, Cairns Hospital, Cairns, Queensland, Australia.
authors: Devlin
authors: D
authors: Elliott
authors: Department of Plastic and Reconstructive Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia; the Department of Plastic and Reconstructive Surgery, Gold Coast University Hospital, Gold Coast, Queensland, Australia; and the Department of Orthopaedic Surgery, Cairns Hospital, Cairns, Queensland, Australia.
authors: Jeremy
authors: J
authors: Loveridge