Dislocation of the first carpometacarpal joint
First carpometacarpal (CMC1) joint dislocations are uncommon injuries. However, they can limit hand functions and lead to serious complications. Herein, we report the case of a multiple trauma man with dorsal dislocation of thumb CMC joint that was successfully treated with closed reduction and cast...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Kashan University of Medical Sciences
2020-01-01
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| Series: | Archives of Trauma Research |
| Subjects: | |
| Online Access: | http://www.archtrauma.com/article.asp?issn=2251-953X;year=2020;volume=9;issue=4;spage=200;epage=202;aulast=Esfahani |
| _version_ | 1797725207093313536 |
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| author | Golnaz Latifian Esfahani Tahere Ghasemi Behrang Rezvani Kakhki Sayyed Majid Sadrzadeh Elnaz Vafadar Moradi |
| author_facet | Golnaz Latifian Esfahani Tahere Ghasemi Behrang Rezvani Kakhki Sayyed Majid Sadrzadeh Elnaz Vafadar Moradi |
| author_sort | Golnaz Latifian Esfahani |
| collection | DOAJ |
| description | First carpometacarpal (CMC1) joint dislocations are uncommon injuries. However, they can limit hand functions and lead to serious complications. Herein, we report the case of a multiple trauma man with dorsal dislocation of thumb CMC joint that was successfully treated with closed reduction and casting. The patient was a 47-year-old male with multiple traumas complaining of right wrist pain. Tenderness, deformity, and reduced range of motion of the right thumb CMC joint were observed. X-ray showed dorsal dislocation of the CMC1 joint. Closed reduction of the dislocated joint was performed under general anesthesia, and the joint was immobilized by a thumb-spica cast for 14 days. The patient was eventually discharged in good condition and had no complications or manual dysfunction after a 1-month follow-up. The optimal management of the CMC1 joint dislocations is controversial. The closed reduction seems adequate for these injuries. However, patients whose joints remain unstable after closed reduction, especially those with manual activities, should be considered for open reduction and surgical ligament repair. |
| first_indexed | 2024-03-12T10:27:50Z |
| format | Article |
| id | doaj.art-670676f2f8b941558c4e2331d0ff9fa0 |
| institution | Directory Open Access Journal |
| issn | 2251-953X 2251-9599 |
| language | English |
| last_indexed | 2024-03-12T10:27:50Z |
| publishDate | 2020-01-01 |
| publisher | Kashan University of Medical Sciences |
| record_format | Article |
| series | Archives of Trauma Research |
| spelling | doaj.art-670676f2f8b941558c4e2331d0ff9fa02023-09-02T09:30:36ZengKashan University of Medical SciencesArchives of Trauma Research2251-953X2251-95992020-01-019420020210.4103/atr.atr_64_20Dislocation of the first carpometacarpal jointGolnaz Latifian EsfahaniTahere GhasemiBehrang Rezvani KakhkiSayyed Majid SadrzadehElnaz Vafadar MoradiFirst carpometacarpal (CMC1) joint dislocations are uncommon injuries. However, they can limit hand functions and lead to serious complications. Herein, we report the case of a multiple trauma man with dorsal dislocation of thumb CMC joint that was successfully treated with closed reduction and casting. The patient was a 47-year-old male with multiple traumas complaining of right wrist pain. Tenderness, deformity, and reduced range of motion of the right thumb CMC joint were observed. X-ray showed dorsal dislocation of the CMC1 joint. Closed reduction of the dislocated joint was performed under general anesthesia, and the joint was immobilized by a thumb-spica cast for 14 days. The patient was eventually discharged in good condition and had no complications or manual dysfunction after a 1-month follow-up. The optimal management of the CMC1 joint dislocations is controversial. The closed reduction seems adequate for these injuries. However, patients whose joints remain unstable after closed reduction, especially those with manual activities, should be considered for open reduction and surgical ligament repair.http://www.archtrauma.com/article.asp?issn=2251-953X;year=2020;volume=9;issue=4;spage=200;epage=202;aulast=Esfahanicarpometacarpal jointdislocationthumb |
| spellingShingle | Golnaz Latifian Esfahani Tahere Ghasemi Behrang Rezvani Kakhki Sayyed Majid Sadrzadeh Elnaz Vafadar Moradi Dislocation of the first carpometacarpal joint Archives of Trauma Research carpometacarpal joint dislocation thumb |
| title | Dislocation of the first carpometacarpal joint |
| title_full | Dislocation of the first carpometacarpal joint |
| title_fullStr | Dislocation of the first carpometacarpal joint |
| title_full_unstemmed | Dislocation of the first carpometacarpal joint |
| title_short | Dislocation of the first carpometacarpal joint |
| title_sort | dislocation of the first carpometacarpal joint |
| topic | carpometacarpal joint dislocation thumb |
| url | http://www.archtrauma.com/article.asp?issn=2251-953X;year=2020;volume=9;issue=4;spage=200;epage=202;aulast=Esfahani |
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