Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report

The long fingers' paddlefish carpometacarpal (CMC) dislocation is exceptional. Most dislocations occur after high energy trauma. Untreated, these lesions can result in chronic instability of the CMC joints and early osteoarthritis. We report the case of a 20-year-old patient presenting with an...

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Bibliographic Details
Main Authors: Lassaad Hassini, Thabet Mouelhi, Mohamed Ali Khalifa, Mourad Mtaoumi, Mohamed Laaziz Ben Ayeche
Format: Article
Language:English
Published: The Pan African Medical Journal 2017-10-01
Series:The Pan African Medical Journal
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Online Access: https://www.panafrican-med-journal.com/content/article/28/155/pdf/155.pdf
Description
Summary:The long fingers' paddlefish carpometacarpal (CMC) dislocation is exceptional. Most dislocations occur after high energy trauma. Untreated, these lesions can result in chronic instability of the CMC joints and early osteoarthritis. We report the case of a 20-year-old patient presenting with an ulnar paddlefish CMC fracture-dislocation of the three lesser fingers resulting from a hand trauma in the context of an occupational accident. Treatment is usually surgical though no strict consensus can be found upon literature review. If diagnosed early and no associated fractures are found, CMC dislocation could benefit from conservative treatment.
ISSN:1937-8688
1937-8688