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Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury

We report a rare case of dislocation of second to fourth carpometacarpal (CMC) joints of the right hand with combined dorsal and ulnarward displacement of the second to fourth digits and fracture of the shaft of the first metacarpal associated with degloving injury. These injuries were diagnosed ear...

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Autores principales: Electricwala, Ali J., Electricwala, Jaffer T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574274/
https://www.ncbi.nlm.nih.gov/pubmed/28894612
http://dx.doi.org/10.1155/2017/7524563
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author Electricwala, Ali J.
Electricwala, Jaffer T.
author_facet Electricwala, Ali J.
Electricwala, Jaffer T.
author_sort Electricwala, Ali J.
collection PubMed
description We report a rare case of dislocation of second to fourth carpometacarpal (CMC) joints of the right hand with combined dorsal and ulnarward displacement of the second to fourth digits and fracture of the shaft of the first metacarpal associated with degloving injury. These injuries were diagnosed early and treated successfully with closed reduction and internal fixation using Kirschner wires. The functional outcome was good at follow-up at 5 years. A high index of suspicion is required to successfully diagnose and treat this condition.
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spelling pubmed-55742742017-09-11 Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury Electricwala, Ali J. Electricwala, Jaffer T. Case Rep Emerg Med Case Report We report a rare case of dislocation of second to fourth carpometacarpal (CMC) joints of the right hand with combined dorsal and ulnarward displacement of the second to fourth digits and fracture of the shaft of the first metacarpal associated with degloving injury. These injuries were diagnosed early and treated successfully with closed reduction and internal fixation using Kirschner wires. The functional outcome was good at follow-up at 5 years. A high index of suspicion is required to successfully diagnose and treat this condition. Hindawi 2017 2017-08-15 /pmc/articles/PMC5574274/ /pubmed/28894612 http://dx.doi.org/10.1155/2017/7524563 Text en Copyright © 2017 Ali J. Electricwala and Jaffer T. Electricwala. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Electricwala, Ali J.
Electricwala, Jaffer T.
Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury
title Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury
title_full Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury
title_fullStr Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury
title_full_unstemmed Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury
title_short Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury
title_sort combined dorsal and ulnarward carpometacarpal dislocation associated with open fracture of the base of first metacarpal and severe degloving injury
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574274/
https://www.ncbi.nlm.nih.gov/pubmed/28894612
http://dx.doi.org/10.1155/2017/7524563
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