title: A rare combined injury of dorsal fracture-dislocation of four carpometacarpal joints and trapezium, trapezoid and distal radius bone fractures.
abstract: Incorrect or delayed diagnosis and treatment of the carpometacarpal fracture-dislocations is often associated with poor prognosis. We present a rare case of unusual pattern of injury, involving dorsal dislocation of four ulnar carpometacarpal joints, associated with fracture of the trapezium, a burst fracture of the trapezoid  bone and an extra-articular fracture of the third distal  of the radius. The first surgical intervention was followed by unsatisfactory results, confirmed by the CT scans. A second surgery followed and an open reduction and pinning with K wires performed. Post-operative follow up lasting for nine months revealed a very good surgical outcome.
authors.affiliation: Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy. yorgostoulou@gmail.com.
authors.forename: Georgios
authors.initials: G
authors.lastname: Touloupakis
authors.forename: Wilfried
authors.initials: W
authors.lastname: Stuflesser
authors.forename: Guido
authors.initials: G
authors.lastname: Antonini
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Ferrara
authors.forename: Cornelio
authors.initials: C
authors.lastname: Crippa
authors.forename: Maria Gabriella
authors.initials: MG
authors.lastname: Lettera
mesh_terms: D000328:Adult; D052737:Carpometacarpal Joints / Q000293:injuries* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D011885:Radius Fractures / Q000601:surgery*; D051222:Trapezium Bone / Q000293:injuries* / Q000601:surgery; D051223:Trapezoid Bone / Q000293:injuries* / Q000601:surgery
keywords: Multiple carpometacarpal dislocation; metacarpal bones; open reduction internal fixation; radius fracture concomitant carpal lesions