Isolated dislocation of the Fifth Carpometacarpal Joint: A Case Report.
Isolated Carpometacarpal (CMC) joints dislocations is an extremely uncommon injury. It is often missed in polytrauma patient. It can be associated with ulnar nerve damage and detailed neurologic assessment is often warranted to avoid long term deficit. Early closed reduction usually leads to a good outcome. This case report describes an uncommon dorsal dislocation of the fifth Carpometacarpal joint in 33-year-old man. It was reduced under local anesthesia and stabilized in an ulnar gutter splint. Post-reduction radiographs revealed satisfactory reduction and alignment. At 4 weeks and subsequent follow-up reduction was stable without sensory loss and gradually regaining good range of motion till last follow-up at 6 months.
Pundkare GT, Patil AM. Carpometacarpal Joint Fracture Dislocation of Second to Fifth Finger. Clin Orthop Surg. 2015;7(4):430-435.
Jumeau H, Lechien P, Dupriez F. Conservative Treatment of Carpometacarpal Dislocation of the Three Last Fingers. Case Rep Emerg Med. 2016;2016:4962021.
Horneff JG 3rd, Park MJ, Steinberg DR. Acute closed dislocation of the second through fourth carpometacarpal joints: satisfactory treatment with closed reduction and immobilization. Hand (N Y). 2013;8(2):227-31.
Anjum R, Roy A, Farooque K, Sharma V. An Isolated Pure Dislocation of Fifth Carpometacarpal Joint: Case Report and Review of Literature. J Orthop Case Rep. 2017;7(2):14-16.
Storken G, Bogie R, Jansen EJ. Acute ulnar carpometacarpal dislocations. Can it be treated conservatively? A review of four cases. Hand (N Y). 2011;6(4):420-423.
Tsepelidis D, Schuind F. Luxation carpo-metacarpienne palmaire du cinquieme doigt : a propos d'un cas [Volar dislocation of the fifth carpometacarpal joint: a case report]. Chir Main. 2014;33(3):227-230.
Telich-Tarriba JE, Guevara-Valmana OI, Navarro-Barquin DF, Victor-Baldin A. Carpometacarpal Joint Dislocations: Management and Long-Term Outcomes at a Specialized Hand Surgery Center in Latin America. Plast Surg (Oakv). 2020 ;28(4):210-214.
Hani R, Jeddi I, Berrada MS. Divergent dislocation of the carpometacarpal joints: a case report. J Med Case Rep. 2018;12(1):157.