Carpometacarpal Joint Fracture Dislocation of Second to Fifth Finger
Clinics in Orthopedic Surgery
; : 430-435, 2015.
Article
in En
| WPRIM
| ID: wpr-209613
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Retrospective Studies
/
Fracture Healing
/
Joint Dislocations
/
Carpometacarpal Joints
/
Fracture Fixation, Internal
/
Hand Injuries
Type of study:
Observational_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Clinics in Orthopedic Surgery
Year:
2015
Type:
Article