Ulnar paddlefish carpometacarpal dislocation of the three lesser fingers: a case report

The Pan African Medical Journal

Mourad Mtaoumi¹  Mohamed Laaziz Ben Ayeche¹  Thabet Mouelhi¹  Lassaad Hassini¹  Mohamed Ali Khalifa¹ 

[1] Department of Orthopaedic Surgery, University Hospital Sahloul, Sousse, Tunisia;

关键词: carpometacarpal dislocation;    paddlefish;    ulnar;    reduction;   

DOI  :  10.11604/pamj.2017.28.155.12517

来源: DOAJ

【 摘 要 】

The long fingers' paddlefish carpometacarpal (CMC) dislocation is exceptional. Most dislocations occur after high energy trauma. Untreated, these lesions can result in chronic instability of the CMC joints and early osteoarthritis. We report the case of a 20-year-old patient presenting with an ulnar paddlefish CMC fracture-dislocation of the three lesser fingers resulting from a hand trauma in the context of an occupational accident. Treatment is usually surgical though no strict consensus can be found upon literature review. If diagnosed early and no associated fractures are found, CMC dislocation could benefit from conservative treatment.

【 授权许可】

Unknown