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.
Similar content being viewed by others
References
McWhorter GL (1918) Isolated and complete dislocation of the fifth carpo-metacarpal joint. Open Oper Surg Clin Chic 2:793–796
Buzby BF (1934) Palmar carpo-metacarpal dislocation of the fifth metacarpal. Ann Surg 100:555–557
Ker HR (1955) Dislocation of the fifth carpo-metacarpal joint. J Bone Jt Surg A 37:254–256
Chen VT (1987) Dislocation of the carpo-metacarpal joint of the little finger. J Hand Surg B 12:260–263
Dennyson WG, Stother IG (1976) Carpo-metacarpal dislocation of the little finger. Hand 8:161–164
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
Nalebuff EA (1968) Isolated anterior carpo-metacarpal dislocation of the fifth finger: classification and case report. J Trauma 8:1119–1123
Roberts N, Holland CT (1936) Isolated dislocation of the base of the fifth metacarpal. Br J Surg 23:567–571
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
Cain JE, Shepler TR, Wilson MR (1987) Hamatometacarpal fracture-dislocation: classification and treatment. J Hand Surg 12:762–767
Hsu JD, Curtis RM (1970) Carpo-metacarpal dislocation of the ulnar side of the hand. J Bone Jt Surg A 52:927–930
Jebson PJL, Engber WD, Lange RH (1994) Dislocation and fracture-dislocation of the carpometacarpal joints. Orthop Rev Suppl:19–28
Laforgia R, Specchiulli F, Mariani A (1990) Dorsal dislocation of the fifth carpo-metacarpal joint. J Hand Surg A 15:463–465
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
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
Corresponding author
Rights 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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12306-009-0029-z