title: Various Diagnostic and Treatment Pitfalls of Combined Fracture Dislocations of Trapezoid and Multiple Carpometacarpal Joints.
abstract: We report a rare case of combined fracture dislocations of the trapezoid and multiple carpometacarpal joints that became chronic due to inappropriate treatments. Although an acceptable clinical result was obtained with limited intercarpal fusion, correct diagnosis and initial treatments including anatomical reduction and fixation for obtaining a good clinical result, are important for complex trapezoid injury.
authors.affiliation: * Department of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan.|† Department of Orthopaedic Surgery, Kushiro Rosai Hospital Hand Center, Kushiro, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Motomiya
authors.affiliation: ‡ Department of Orthopaedic Surgery, Iwamizawa Municipal General Hospital, Iwamizawa, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Tazaki
authors.affiliation: * Department of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
authors.forename: Norimasa
authors.initials: N
authors.lastname: Iwasaki
mesh_terms: D001174:Arthrodesis / Q000379:methods*; D052737:Carpometacarpal Joints / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D051223:Trapezoid Bone / Q000293:injuries / Q000601:surgery*; D014954:Wrist Injuries / Q000601:surgery*
keywords: Carpometacarpal joint dislocation; Chronic; Limited intercarpal fusion; Trapezoid dislocation