Near-miss injury of multiple Carpometacarpal joint dislocations: a report of two cases

Kow, Ren Yi and Mustapha Zakaria, Zaharul Azri and Kumar, Ruben Jaya and Low, Chooi Leng and Siron @ Baharom, Khairul Nizam (2021) Near-miss injury of multiple Carpometacarpal joint dislocations: a report of two cases. Borneo Journal of Medical Sciences, 15 (2). ISSN 1985-1758 E-ISSN 2710-7353

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Abstract

Multiple carpometacarpal joint (CMCJ) dislocations are rare and are easily missed. The anatomical configuration renders stability to the joints. As a result, a high-velocity impact is required to dislocate the joint. We present two cases of multiple carpometacarpal joint dislocations with different mechanisms of injury and their subsequent management at our centre. In case 1, a 29-year-old gentleman presented with acute dislocations of the CMCJs involving the right middle, ring, and little fingers. An open reduction and fixation with Kirschner wires were done to stabilize the dislocated CMCJs and he subsequently recovered. In case 2, a 25-year-old gentleman had the CMCJ dislocations detected late due to other more profound injuries. Partial arthrodesis was performed to address the instability of the CMCJs of the right index, middle and ring fingers. He subsequently recovered and returned to work 6-months postoperatively. The diagnosis of carpometacarpal joint dislocation can be easily missed especially when there is a concurrent distracting injury. It is crucial to maintain a high index of suspicion as early diagnosis and prompt treatment is paramount to yield a better outcome.

Item Type:	Article (Journal)
Uncontrolled Keywords:	carpometacarpal joint, dislocation, surgery, outcome, near- miss
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Dr Khairul Nizam Siron @ Baharom
Date Deposited:	31 Jan 2022 10:31
Last Modified:	31 Jan 2022 14:53
URI:	http://irep.iium.edu.my/id/eprint/96520

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