“Floating thumb metacarpal” or complete dislocation of the thumb metacarpal: A case report and review of the literature
We present a case of a patient with a simultaneous dislocation of the metacarpophalangeal (MP) and the carpometacarpal (CMC) joint of the thumb as an isolated injury, and we review the relevant literature. We found only three previous reports in the literature, two reports as an isolated injury and...
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Veröffentlicht in: | Injury 2004-05, Vol.35 (5), p.545-548 |
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creator | Drosos, G.I Kayias, E.H Tsioros, K |
description | We present a case of a patient with a simultaneous dislocation of the metacarpophalangeal (MP) and the carpometacarpal (CMC) joint of the thumb as an isolated injury, and we review the relevant literature.
We found only three previous reports in the literature, two reports as an isolated injury and another similar injury combined with a carpometacarpal fracture-dislocation of all four fingers.
A closed reduction of both joints followed by an open repair of the torn ulnar collateral ligament of the MP joint and Kirschner-wire (K-wire) stabilization of the CMC joint led to a good result at 1 year.
This rare injury has been described as a “complete dislocation of the thumb metacarpal” or as a “simultaneous dislocation of the MP and CMC joints of the thumb”. We suggest it is a “floating thumb metacarpal”. |
doi_str_mv | 10.1016/S0020-1383(02)00418-7 |
format | Article |
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We found only three previous reports in the literature, two reports as an isolated injury and another similar injury combined with a carpometacarpal fracture-dislocation of all four fingers.
A closed reduction of both joints followed by an open repair of the torn ulnar collateral ligament of the MP joint and Kirschner-wire (K-wire) stabilization of the CMC joint led to a good result at 1 year.
This rare injury has been described as a “complete dislocation of the thumb metacarpal” or as a “simultaneous dislocation of the MP and CMC joints of the thumb”. We suggest it is a “floating thumb metacarpal”.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/S0020-1383(02)00418-7</identifier><identifier>PMID: 15081339</identifier><identifier>CODEN: INJUBF</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Diseases of the osteoarticular system ; Humans ; Joint Dislocations - diagnostic imaging ; Male ; Medical sciences ; Metacarpophalangeal Joint - diagnostic imaging ; Metacarpophalangeal Joint - injuries ; Military Personnel ; Radiography ; Thumb - diagnostic imaging ; Thumb - injuries ; Traumas. Diseases due to physical agents</subject><ispartof>Injury, 2004-05, Vol.35 (5), p.545-548</ispartof><rights>2003 Elsevier Science Ltd</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0020-1383(02)00418-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15702621$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15081339$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Drosos, G.I</creatorcontrib><creatorcontrib>Kayias, E.H</creatorcontrib><creatorcontrib>Tsioros, K</creatorcontrib><title>“Floating thumb metacarpal” or complete dislocation of the thumb metacarpal: A case report and review of the literature</title><title>Injury</title><addtitle>Injury</addtitle><description>We present a case of a patient with a simultaneous dislocation of the metacarpophalangeal (MP) and the carpometacarpal (CMC) joint of the thumb as an isolated injury, and we review the relevant literature.
We found only three previous reports in the literature, two reports as an isolated injury and another similar injury combined with a carpometacarpal fracture-dislocation of all four fingers.
A closed reduction of both joints followed by an open repair of the torn ulnar collateral ligament of the MP joint and Kirschner-wire (K-wire) stabilization of the CMC joint led to a good result at 1 year.
This rare injury has been described as a “complete dislocation of the thumb metacarpal” or as a “simultaneous dislocation of the MP and CMC joints of the thumb”. We suggest it is a “floating thumb metacarpal”.</description><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Humans</subject><subject>Joint Dislocations - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metacarpophalangeal Joint - diagnostic imaging</subject><subject>Metacarpophalangeal Joint - injuries</subject><subject>Military Personnel</subject><subject>Radiography</subject><subject>Thumb - diagnostic imaging</subject><subject>Thumb - injuries</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpl0c1u1TAQBWALgeil8Aggb0CwCMzEybXTDaoq-iNVYgGsLceZgJETB9sBITZ9EHi5Pglue4sqsbG9-I6lmcPYU4TXCLh98wGghgqFEi-hfgXQoKrkPbZBJbsK6q28zzb_yB57lNJXAJQgxEO2hy0oFKLbsF-XF7-PfTDZzZ95_rJOPZ8oG2viYvzlxR8eIrdhWjxl4oNLPthiw8zDWDj9Fzngh9yaRDzSEmLmZh7K87ujH7cJ7zJFk9dIj9mD0fhET3b3Pvt0_O7j0Wl1_v7k7OjwvCJRt7kakSwaaA2pBhrZDWqLra37EcvRm7FvLLWiFwOqetu2XaM6AaSgGazCrq3FPntx8-8Sw7eVUtaTS5a8NzOFNWlZgoiyK_DZDq79RINeoptM_Klv11XA8x0wyRo_RjNbl-44WTZfY3FvbxyVscrwUSfraLY0uEg26yE4jaCvitTXReqrljTU-rpILcVf0OKRKw</recordid><startdate>20040501</startdate><enddate>20040501</enddate><creator>Drosos, G.I</creator><creator>Kayias, E.H</creator><creator>Tsioros, K</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20040501</creationdate><title>“Floating thumb metacarpal” or complete dislocation of the thumb metacarpal: A case report and review of the literature</title><author>Drosos, G.I ; Kayias, E.H ; Tsioros, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e325t-f1ec1a05ae840479d8615c2bf1c2bbafb4ce53b3d182655948930e804dc819523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Humans</topic><topic>Joint Dislocations - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metacarpophalangeal Joint - diagnostic imaging</topic><topic>Metacarpophalangeal Joint - injuries</topic><topic>Military Personnel</topic><topic>Radiography</topic><topic>Thumb - diagnostic imaging</topic><topic>Thumb - injuries</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Drosos, G.I</creatorcontrib><creatorcontrib>Kayias, E.H</creatorcontrib><creatorcontrib>Tsioros, K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Drosos, G.I</au><au>Kayias, E.H</au><au>Tsioros, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Floating thumb metacarpal” or complete dislocation of the thumb metacarpal: A case report and review of the literature</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2004-05-01</date><risdate>2004</risdate><volume>35</volume><issue>5</issue><spage>545</spage><epage>548</epage><pages>545-548</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>We present a case of a patient with a simultaneous dislocation of the metacarpophalangeal (MP) and the carpometacarpal (CMC) joint of the thumb as an isolated injury, and we review the relevant literature.
We found only three previous reports in the literature, two reports as an isolated injury and another similar injury combined with a carpometacarpal fracture-dislocation of all four fingers.
A closed reduction of both joints followed by an open repair of the torn ulnar collateral ligament of the MP joint and Kirschner-wire (K-wire) stabilization of the CMC joint led to a good result at 1 year.
This rare injury has been described as a “complete dislocation of the thumb metacarpal” or as a “simultaneous dislocation of the MP and CMC joints of the thumb”. We suggest it is a “floating thumb metacarpal”.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>15081339</pmid><doi>10.1016/S0020-1383(02)00418-7</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Diseases of the osteoarticular system Humans Joint Dislocations - diagnostic imaging Male Medical sciences Metacarpophalangeal Joint - diagnostic imaging Metacarpophalangeal Joint - injuries Military Personnel Radiography Thumb - diagnostic imaging Thumb - injuries Traumas. Diseases due to physical agents |
title | “Floating thumb metacarpal” or complete dislocation of the thumb metacarpal: A case report and review of the literature |
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