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Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature

Dislocations of the carpometacarpal (CMC) joints without fracture are rare injuries. They commonly involve the fourth and fifth metacarpals of the dominant hand. Missed and incorrect diagnoses are quite frequent due to subtle clinical and radiological findings. Untreated cases may result in chronic...

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Detalles Bibliográficos
Autores principales: Metikala, Sreenivasulu, Herickhoff, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837660/
https://www.ncbi.nlm.nih.gov/pubmed/33520509
http://dx.doi.org/10.7759/cureus.12310
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author Metikala, Sreenivasulu
Herickhoff, Paul
author_facet Metikala, Sreenivasulu
Herickhoff, Paul
author_sort Metikala, Sreenivasulu
collection PubMed
description Dislocations of the carpometacarpal (CMC) joints without fracture are rare injuries. They commonly involve the fourth and fifth metacarpals of the dominant hand. Missed and incorrect diagnoses are quite frequent due to subtle clinical and radiological findings. Untreated cases may result in chronic disability due to long term pain and weakness in grip strength. Closed reduction is possible when performed early but can be unstable. We present a rare case of unstable dislocation of fourth and fifth carpometacarpal joints treated by closed reduction and percutaneous pinning.
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spelling pubmed-78376602021-01-28 Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature Metikala, Sreenivasulu Herickhoff, Paul Cureus Plastic Surgery Dislocations of the carpometacarpal (CMC) joints without fracture are rare injuries. They commonly involve the fourth and fifth metacarpals of the dominant hand. Missed and incorrect diagnoses are quite frequent due to subtle clinical and radiological findings. Untreated cases may result in chronic disability due to long term pain and weakness in grip strength. Closed reduction is possible when performed early but can be unstable. We present a rare case of unstable dislocation of fourth and fifth carpometacarpal joints treated by closed reduction and percutaneous pinning. Cureus 2020-12-26 /pmc/articles/PMC7837660/ /pubmed/33520509 http://dx.doi.org/10.7759/cureus.12310 Text en Copyright © 2020, Metikala et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Plastic Surgery
Metikala, Sreenivasulu
Herickhoff, Paul
Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature
title Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature
title_full Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature
title_fullStr Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature
title_full_unstemmed Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature
title_short Isolated Dorsal Dislocations of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of Literature
title_sort isolated dorsal dislocations of the fourth and fifth carpometacarpal joints: a case report and review of literature
topic Plastic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837660/
https://www.ncbi.nlm.nih.gov/pubmed/33520509
http://dx.doi.org/10.7759/cureus.12310
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