“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
Hauptverfasser: Drosos, G.I, Kayias, E.H, Tsioros, K
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container_issue 5
container_start_page 545
container_title Injury
container_volume 35
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
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source MEDLINE; Elsevier ScienceDirect Journals
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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