ISSN Number - pISSN 2250 – 0685 | eISSN 2321-3817

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Simultaneous Volar Dislocations of Carpometacarpal and Metacarpophalangeal Joints of the Thumb

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Case Report
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Simultaneous Volar Dislocations of Carpometacarpal and Metacarpophalangeal Joints of the Thumb

Authors: AuHayat Khan1 , Peter Darcy1 , Peter Magnussen2
1Specialist Registrar in Orthopaedics, Royal Surrey County Hospital,Guildford, Surrey, GU27XX.*
2Consultant Orthopaedic Surgeon, Royal Surrey County Hospital, Guildford, Surrey, UK, GU2 7XX
Address of Correspondence:
Dr Hayat Khan,22 Sussex Close,High Wycombe,Bucks, HP136UN E-Mail:khaney22@hotmail.com
Article Received : 2012-07-05,
Article Accepted : 2012-07-10

Introduction: Multiple dislocations of joints in the hand are rare. Double dislocations of the thumb joints haveonly been reported on four previous occasions, in all cases reported to date, the joints have dislocated dorsally.

Case Report: We present the case of a 26-year-old male patient with simultaneous volar dislocations of thecarpometacarpal and metacarpophalangeal joints of the thumb. There was delayed operative treatment of this injury with ligament reconstruction and stabilization of the metacarpophalangeal joint.

Conclusion: This rare case provides a mechanism to this type of injury, highlights the importance of initial, andrepeated clinical and radiographic review, highlights the soft tissue component to this injury, and demonstrateshow even delayed treatment can result in a good functional outcome.

Keywords: Thumb, Dislocation, Carpometacarpal, Metacarpophalangeal.

How to Cite This Article: Khan H, Darcy P, Magnussen P. Simultaneous Volar Dislocations of Carpometacarpal and Metacarpophalangeal Joints of the Thumb. Journal of Orthopaedic Case Reports 2012 July, 2(07): 8-11.