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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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
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/28/155/pdf/155.pdf
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author Lassaad Hassini
Thabet Mouelhi
Mohamed Ali Khalifa
Mourad Mtaoumi
Mohamed Laaziz Ben Ayeche
author_facet Lassaad Hassini
Thabet Mouelhi
Mohamed Ali Khalifa
Mourad Mtaoumi
Mohamed Laaziz Ben Ayeche
author_sort Lassaad Hassini
collection DOAJ
description 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.
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spelling doaj.art-bee42af6bc264bc4bbe2999dfb4ad2402022-12-21T19:34:19ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882017-10-012815510.11604/pamj.2017.28.155.1251712517Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case reportLassaad Hassini0Thabet Mouelhi1Mohamed Ali Khalifa2Mourad Mtaoumi3Mohamed Laaziz Ben Ayeche4 Department of Orthopaedic Surgery, University Hospital Sahloul, Sousse, Tunisia Department of Orthopaedic Surgery, University Hospital Sahloul, Sousse, Tunisia Department of Orthopaedic Surgery, University Hospital Sahloul, Sousse, Tunisia Department of Orthopaedic Surgery, University Hospital Sahloul, Sousse, Tunisia Department of Orthopaedic Surgery, University Hospital Sahloul, Sousse, Tunisia 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. https://www.panafrican-med-journal.com/content/article/28/155/pdf/155.pdf carpometacarpal dislocationpaddlefishulnarreduction
spellingShingle Lassaad Hassini
Thabet Mouelhi
Mohamed Ali Khalifa
Mourad Mtaoumi
Mohamed Laaziz Ben Ayeche
Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report
The Pan African Medical Journal
carpometacarpal dislocation
paddlefish
ulnar
reduction
title Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report
title_full Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report
title_fullStr Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report
title_full_unstemmed Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report
title_short Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report
title_sort ulnar paddlefish carpometacarpal dislocation of the three lesser fingers a case report
topic carpometacarpal dislocation
paddlefish
ulnar
reduction
url https://www.panafrican-med-journal.com/content/article/28/155/pdf/155.pdf
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AT mohamedalikhalifa ulnarpaddlefishcarpometacarpaldislocationofthethreelesserfingersacasereport
AT mouradmtaoumi ulnarpaddlefishcarpometacarpaldislocationofthethreelesserfingersacasereport
AT mohamedlaazizbenayeche ulnarpaddlefishcarpometacarpaldislocationofthethreelesserfingersacasereport