Skip to main content

Advertisement

Log in

Pure isolated dorsal dislocation of the fifth carpometacarpal joint

  • Case Report
  • Published:
MUSCULOSKELETAL SURGERY Aims and scope Submit manuscript

Abstract

Isolated pure dislocations of the fifth carpo-metacarpal joint are extremely rare injuries. The dorsal form was described in mere 12 cases. The diagnosis can be easily missed. The lesion is also often overlooked in the routine diagnostic X-ray. Lateral and oblique views are important for the recognition of the true extent of the lesion. Treatment of these injures is still controversial and both closed reduction with percutaneous pinning or open reduction with internal fixation are advocated. The goal of treatment is early reduction and fixation of the metacarpal. Early diagnosis is the key to success. The aim of this paper is to review literature and present two new cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. McWhorter GL (1918) Isolated and complete dislocation of the fifth carpo-metacarpal joint. Open Oper Surg Clin Chic 2:793–796

    Google Scholar 

  2. Buzby BF (1934) Palmar carpo-metacarpal dislocation of the fifth metacarpal. Ann Surg 100:555–557

    Article  Google Scholar 

  3. Ker HR (1955) Dislocation of the fifth carpo-metacarpal joint. J Bone Jt Surg A 37:254–256

    Google Scholar 

  4. Chen VT (1987) Dislocation of the carpo-metacarpal joint of the little finger. J Hand Surg B 12:260–263

    CAS  Google Scholar 

  5. Dennyson WG, Stother IG (1976) Carpo-metacarpal dislocation of the little finger. Hand 8:161–164

    Article  PubMed  CAS  Google Scholar 

  6. Gangloff D, Mansat P, Gaston A et al (2007) Carpometacarpal dislocation of the fifth finger: descriptive study of 31 cases. Chir Main 26:206–213

    Article  PubMed  CAS  Google Scholar 

  7. Nalebuff EA (1968) Isolated anterior carpo-metacarpal dislocation of the fifth finger: classification and case report. J Trauma 8:1119–1123

    Article  PubMed  CAS  Google Scholar 

  8. Roberts N, Holland CT (1936) Isolated dislocation of the base of the fifth metacarpal. Br J Surg 23:567–571

    Article  Google Scholar 

  9. Arama T, Postel M, Martin G, Msika C, Hourtoulle P (1985) Carpo-metacarpal dislocation of the fifth digit with fracture of the hamate bone. Apropos of a recent case. Rev Chir Orthop 71:339–342

    PubMed  CAS  Google Scholar 

  10. Cain JE, Shepler TR, Wilson MR (1987) Hamatometacarpal fracture-dislocation: classification and treatment. J Hand Surg 12:762–767

    Google Scholar 

  11. Hsu JD, Curtis RM (1970) Carpo-metacarpal dislocation of the ulnar side of the hand. J Bone Jt Surg A 52:927–930

    CAS  Google Scholar 

  12. Jebson PJL, Engber WD, Lange RH (1994) Dislocation and fracture-dislocation of the carpometacarpal joints. Orthop Rev Suppl:19–28

  13. Laforgia R, Specchiulli F, Mariani A (1990) Dorsal dislocation of the fifth carpo-metacarpal joint. J Hand Surg A 15:463–465

    Article  CAS  Google Scholar 

  14. Tingart M, Bathis H, Bouillon B et al (2000) Dorsal carpometacarpal dislocation of the fifth finger: discussion of diagnosis and therapy on two cases. Unfallchirurg 103:76–80

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest statement

The authors declare that they have no conflict of interest related to the publication of this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maurizio Valente.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Valente, M., Saggin, G. & Alecci, V. Pure isolated dorsal dislocation of the fifth carpometacarpal joint. Musculoskelet Surg 93, 97–100 (2009). https://doi.org/10.1007/s12306-009-0029-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12306-009-0029-z

Keywords

Navigation