J Korean Orthop Assoc.  2005 Dec;40(7):1004-1008.

Dislocation of the Carpometacarpal Joint of the Thumb in Ehlers-Danlos Syndrome: A Case Report

• Cheon SJ
• Cho JY
• Kang JH
• Kim HT
• Yoo CI

Abstract

A subluxation or dislocation of the carpometacarpal joint of the thumb is a rare injury, which usually occurs from trauma. There is a relative dearth of literature about the results of hand surgery for the treatment of Ehlers-Danlos syndrome. To the best of our knowledge, there has been no report on capsular ligament reconstruction in the hand using an autogenous tendon graft for the treatment of Ehlers-Danlos syndrome. We describe a case of atraumatic dislocation of the carpometacarpal joint of the thumb that had gradually progressed in a patient with Ehlers-Danlos syndrome; and which was treated with capsular ligament reconstruction by use of a portion of the flexor carpi radialis tendon. Six months after surgery, a trapeziometacarpal arthrodesis was performed secondarily, because of subluxation and pain in the carpometacarpal joint of the thumb, with a pinching motion.

Keyword

Ehlers-Danlos syndrome; Thumb carpometacarpal dislocation; Capsular ligament reconstruction; Arthrodesis

MeSH Terms

Arthrodesis
Carpometacarpal Joints*
Dislocations*
Ehlers-Danlos Syndrome*
Hand
Humans
Ligaments
Tendons
Thumb*
Transplants