Trans-trapezium carpo-metacarpal dislocation of the thumb

Guido Garavaglia; Stefano Bianchi; Dominique Della Santa; Cesare Fusetti

doi:10.1007/s00402-003-0596-7

Trans-trapezium carpo-metacarpal dislocation of the thumb

Arch Orthop Trauma Surg. 2004 Jan;124(1):67-8. doi: 10.1007/s00402-003-0596-7. Epub 2003 Oct 24.

Authors

Guido Garavaglia¹, Stefano Bianchi, Dominique Della Santa, Cesare Fusetti

Affiliation

¹ Hand Surgery Unit, Department of Reconstructive Surgery, University Hospital, 1200 Geneva, Switzerland.

PMID: 14579134
DOI: 10.1007/s00402-003-0596-7

Abstract

We report a case of carpo-metacarpal dislocation associated with an isolated horizontal fracture of the trapezium. It is a rare lesion which is difficult to diagnose by standard radiography, and CT may be necessary for the diagnosis and correct treatment. In our case, stable osteosynthesis was achieved by internal screw fixation, and at follow-up there was an unrestricted, painless range of motion of the thumb.

Publication types

Case Reports

MeSH terms

Adult
Bone Screws
Carpal Bones / injuries
Carpal Bones / surgery*
Female
Finger Injuries / diagnostic imaging
Finger Injuries / surgery
Follow-Up Studies
Fracture Fixation, Internal / instrumentation
Fracture Fixation, Internal / methods*
Fracture Healing / physiology
Humans
Joint Dislocations / diagnostic imaging
Joint Dislocations / surgery*
Metacarpophalangeal Joint / injuries
Metacarpophalangeal Joint / surgery*
Radiography
Range of Motion, Articular / physiology
Recovery of Function
Risk Assessment
Thumb / injuries
Treatment Outcome