Case 4 – Jan -Mar 2012. Journal of Orthopaedic Case Reports

Isolated Carpo-Metacarpal Dislocation of the Thumb

Suresh SS1, Hosam Zaki1, Aamir Ahmed1

1Dept of Orthopaedics, Ibri Regional Referral Hospital, Sultanate of Oman.

Address of Correspondence 

Dr. S. S. Suresh. Head of Department of Orthopaedics. Ibri Regional Referral Hospital, PO Box 396, Ibri 516, Sultanate of Oman.

  Abstract

Introduction: Isolated dislocations of the trapezio metacarpal joint without associated fracture has been reported very rarely in the literature. There are reports of associated injuries like fracture of the trapezium, dislocation of the metacarpophalangeal joint and fractures of the base of the thumb metacarpal.

Case Report: Authors report a case of isolated carpometacarpal dislocation of the right thumb, in an adult, successfully managed conservatively. At 15 months follow up the patient had full function of the hand without any clinical or radiological evidence of instability or posttraumatic arthritis.

Conclusion: Isolated dislocations can be successfully managed by closed reduction and immobilization in a back slab, with unstable dislocations requiring surgical intervention.

Keywords:  Thumb; Carpo-Metacarpal Dislocation

How to Cite This Article: 

Suresh SS,  Zaki H, Ahmed A. Isolated Carpo-Metacarpal Dislocation of the Thumb. J Ortho Case Reports 2012;2(1):15-17

 Available fromhttp://www.jocr.co.in/wp/wp-content/uploads/2012/02/Case-4-CMC-dislocation.pdf