Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2018 | Month : May | Volume : 12 | Issue : 5 | Page : RD01 - RD03

Rare Multiple Open Dislocation of Carpometacarpal Joints

Kung-Hung Lin, Cheng-Tse Lee, Hsing-Ning Yu, Jung-Ju Cheng

1. MD, Department of Surgery, Division of Orthopaedics, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Tai, Kaohsiung, na, Taiwan. 2. MD, Department of Surgery, Division of Orthopaedics, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Tai, Kaohsiung, na, Taiwan. 3. MD, Department of Surgery, Division of Orthopaedics, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Tai, Kaohsiung, na, Taiwan. 4. MD, Department of Surgery, Division of Orthopaedics, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Tai, Kaohsiung, na, Taiwan.

Correspondence Address :
Dr. Kung-Hung Lin,
81345, No. 553, Junxiao Rd., Zuoying Dist, Kaohsiung, na, Taiwan.
E-mail: itelarryjung806@gmail.com

Abstract

Fracture dislocations of Carpometacarpal (CMC) joints are high-energy injuries, often occurring from vehicle accidents. We here by present a rare case of open dislocation of the second, third, and fourth CMC joints associated with comminuted fracture of the first and fourth phalanges. The fracture in radius and ulna was managed by open reduction and fixed with multiple Kirschner wires (K-wires) and plates. The Disabilities of the Arm, Shoulder and Hand (DASH) score was used to assess functional status at the end of physiotherapy, which improved from 74.2 to 0 over two years. Union was achieved at the end of three months, with an eventual good functional outcome and joint alignment. A high index of suspicion along with good clinical examination and careful assessment of radiographs can ensure early diagnosis and proper management of this rare injury.

Keywords

Carpal dislocation, DASH score, Wrist pain

How to cite this article :

Kung-Hung Lin, Cheng-Tse Lee, Hsing-Ning Yu, Jung-Ju Cheng. RARE MULTIPLE OPEN DISLOCATION OF CARPOMETACARPAL JOINTS. Journal of Clinical and Diagnostic Research [serial online] 2018 May [cited: 2018 Aug 21 ]; 12:RD01-RD03. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=May&volume=12&issue=5&page=RD01-RD03&id=11477

DOI and Others

DOI: 10.7860/JCDR/2018/27225.11477

Date of Submission: Feb 02, 2017
Date of Peer Review: Apr 04, 2017
Date of Acceptance: Feb 23, 2018
Date of Publishing: May 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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