Management of Rare Case of Missed Fracture‐Dislocation of Second and Third CMC Joints: A Missed Injury Case Report
ABSTRACT Isolated fracture‐dislocation of the second and third carpometacarpal joints (CMC) is very rare, and it is commonly misdiagnosed. Injury to this joint is usually associated with high‐energy trauma, like a motor vehicle accident. Despite correct diagnosis, optimal treatment for these injurie...
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Wiley
2025-02-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70239 |
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| author | Yeshi Dorji Ugyen Thrinley |
| author_facet | Yeshi Dorji Ugyen Thrinley |
| author_sort | Yeshi Dorji |
| collection | DOAJ |
| description | ABSTRACT Isolated fracture‐dislocation of the second and third carpometacarpal joints (CMC) is very rare, and it is commonly misdiagnosed. Injury to this joint is usually associated with high‐energy trauma, like a motor vehicle accident. Despite correct diagnosis, optimal treatment for these injuries is still controversial. We present a 31‐year‐old male patient with a history of one‐month‐old injury to his right hand following a motorcycle accident. Initially, he was treated by one of the orthopedic surgeons elsewhere and misdiagnosed as having blunt trauma to the hand. On presentation, he complained of persistent pain and swelling with deformity of the right hand following the initial treatment he received. Apparently, only AP and Oblique radiographs of the hand were taken. Treatment On clinico‐radiological evaluation, he was found to have a fracture dislocation of 2nd and 3rd CMC joints. He was managed with open reduction and percutaneous pinning with K‐wires. Since the majority of these injuries have a higher chance of misdiagnosis, we recommend careful clinical examination, a high index of suspicion in cases of high‐energy injury, and taking all three standard view radiographs of the hand. |
| format | Article |
| id | doaj-art-1206f465a3a24bb7bb5e8b1fa4c3fec2 |
| institution | OA Journals |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
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| series | Clinical Case Reports |
| spelling | doaj-art-1206f465a3a24bb7bb5e8b1fa4c3fec22025-08-20T02:15:51ZengWileyClinical Case Reports2050-09042025-02-01132n/an/a10.1002/ccr3.70239Management of Rare Case of Missed Fracture‐Dislocation of Second and Third CMC Joints: A Missed Injury Case ReportYeshi Dorji0Ugyen Thrinley1Department of Orthopedic, Military Hospital Army Medical Service Thimphu BhutanDepartment of Orthopedic Jigme Dorji Wangchuck National Referral Hospital Thimphu BhutanABSTRACT Isolated fracture‐dislocation of the second and third carpometacarpal joints (CMC) is very rare, and it is commonly misdiagnosed. Injury to this joint is usually associated with high‐energy trauma, like a motor vehicle accident. Despite correct diagnosis, optimal treatment for these injuries is still controversial. We present a 31‐year‐old male patient with a history of one‐month‐old injury to his right hand following a motorcycle accident. Initially, he was treated by one of the orthopedic surgeons elsewhere and misdiagnosed as having blunt trauma to the hand. On presentation, he complained of persistent pain and swelling with deformity of the right hand following the initial treatment he received. Apparently, only AP and Oblique radiographs of the hand were taken. Treatment On clinico‐radiological evaluation, he was found to have a fracture dislocation of 2nd and 3rd CMC joints. He was managed with open reduction and percutaneous pinning with K‐wires. Since the majority of these injuries have a higher chance of misdiagnosis, we recommend careful clinical examination, a high index of suspicion in cases of high‐energy injury, and taking all three standard view radiographs of the hand.https://doi.org/10.1002/ccr3.70239carpometacarpal dislocationisolatedmisdiagnosisopen reductionrare |
| spellingShingle | Yeshi Dorji Ugyen Thrinley Management of Rare Case of Missed Fracture‐Dislocation of Second and Third CMC Joints: A Missed Injury Case Report Clinical Case Reports carpometacarpal dislocation isolated misdiagnosis open reduction rare |
| title | Management of Rare Case of Missed Fracture‐Dislocation of Second and Third CMC Joints: A Missed Injury Case Report |
| title_full | Management of Rare Case of Missed Fracture‐Dislocation of Second and Third CMC Joints: A Missed Injury Case Report |
| title_fullStr | Management of Rare Case of Missed Fracture‐Dislocation of Second and Third CMC Joints: A Missed Injury Case Report |
| title_full_unstemmed | Management of Rare Case of Missed Fracture‐Dislocation of Second and Third CMC Joints: A Missed Injury Case Report |
| title_short | Management of Rare Case of Missed Fracture‐Dislocation of Second and Third CMC Joints: A Missed Injury Case Report |
| title_sort | management of rare case of missed fracture dislocation of second and third cmc joints a missed injury case report |
| topic | carpometacarpal dislocation isolated misdiagnosis open reduction rare |
| url | https://doi.org/10.1002/ccr3.70239 |
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