title: Carpometacarpal Joint Fracture Dislocation of Second to Fifth Finger.
abstract: BACKGROUND
  Carpometacarpal joint fracture dislocation of the second to fifth finger is a rare hand injury associated with high energy trauma. Due to severe swelling and overlapping of bones on the radiograph of wrist-hand, dislocations are missed. We reported a series of six patients with rare carpometacarpal joint fracture dislocation treated with open reduction.
  
  
  METHODS
  We retrospectively studied six cases of carpometacarpal joint fracture dislocation. All patients were treated with open reduction and internal fixation with Kirschner wire. Functional assessment was done with Quick Disabilities of the Arm, Shoulder and Hand score (Quick DASH score) at regular intervals.
  
  
  RESULTS
  Average Quick DASH score was improved from 75.76 to 1.9 from 6 weeks to 18 months of duration. Of the six patients, three patients had a Quick DASH score of 0 at the end of 18 months.
  
  
  CONCLUSIONS
  Careful hand examination and radiographic assessment is necessary to avoid missed diagnosis of carpometacarpal joint fracture dislocation. Early open reduction and internal fixation lead to excellent recovery of hand function.
authors.affiliation: Department of Orthopaedic, Bharati Vidyapeeth Deemed University Medical College and Hospital, Pune, India.
authors.forename: Gopal Tukaram
authors.initials: GT
authors.lastname: Pundkare
authors.affiliation: Department of Orthopaedic, Bharati Vidyapeeth Deemed University Medical College and Hospital, Pune, India.
authors.forename: Aniket Machindra
authors.initials: AM
authors.lastname: Patil
mesh_terms: D000328:Adult; D052737:Carpometacarpal Joints / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D055815:Young Adult
keywords: Carpometacarpal joints; Dorsal dislocation; Fracture; Volar dislocation