5th carpometacarpal joint dislocation

Case contributed by Dr Bruno Di Muzio

Presentation

Punched a wall. Now pain and deformity.

Patient Data

Age: 19-year-old
Gender: Male
X-ray

Right hand radiographs

5th carpometacarpal dislocation with metacarpal volar angulation and small fracture of the medial aspect of the proximal epiphysis. Increased local soft tissue oedema. The reminder bones are unremarkable.

Case Discussion

This type of dislocation, although uncommon, has a strong young male prevalence due its usual mechanism: punching hard structures. As shown in this case, base of metacarpal fracture is a common association with this injury. 

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Case information

rID: 44030
Case created: 3rd Apr 2016
Last edited: 9th Apr 2016
Tag: rmh
Inclusion in quiz mode: Included

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