Clin Orthop Surg.  2016 Jun;8(2):223-227. 10.4055/cios.2016.8.2.223.

Acute Dislocation of the Metacarpal-Trapezoid Joint

• Cardozo DF
• Plata GV
• Casas JA
• Rodríguez NS

• KMID: 2412351
• DOI: http://doi.org/10.4055/cios.2016.8.2.223

Abstract

The trapezoid metacarpal dislocation is a rare event. In the literature, it is found in case reports. This injury is caused by direct or indirect high energy trauma. In most cases, the dislocation is dorsal and is difficult to reproduce because the joint is not very mobile. Given the low incidence and little evidence supported in the literature regarding the management, this injury can be treated by open or closed reduction; however, it has been published that most authors use Kirschner wire fixation with good results. Here we present our experience in the management of a male patient with acute trapezoid metacarpal dislocation handled with a splint with good functional results at 6 weeks.

Keyword

Carpometacarpal joints; Dislocations

MeSH Terms

Adult
Humans
*Joint Dislocations/diagnostic imaging/therapy
Male
*Metacarpal Bones/diagnostic imaging/injuries/physiopathology
*Metacarpophalangeal Joint/diagnostic imaging/injuries/physiopathology
Splints