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Multiple Carpometacarpal Fracture Dislocation of the Hand – An Uncommon Pattern of Injury Which is Often Missed: A Case Report with Review of Literature
618-620
Correspondence
Dr. Yasir Salam Siddiqui, Orthopaedic Registrar,
Dept. of Orthopaedic Surgery, Jawaharlal Nehru Medical College,
Aligarh Muslim University, Aligarh
E-mail: yassu98@gmail.com; Phone: +919837343400
Carpometacarpal fracture dislocations of the hand are a relatively uncommon pattern of injury. The injury is difficult to diagnose because of the gross swelling of the hand. The diagnosis of this unusual form of injury requires a high index of suspicion, vigilant examination and high-quality radiography. Apart from the routine antero-posterior and oblique radiographs, a lateral radiograph of the hand is essential for making a precise diagnosis in suspected cases of carpometacarpal fracture dislocations. In the case which is discussed here, the diagnosis of the fracture dislocation was missed by the treating doctor at the initial presentation itself, probably due to the gross swelling and ignorance about the entity.