5th carpometacarpal joint dislocation

Case contributed by Dr Henry Knipe

Presentation

Swollen hand at 2 am in the morning.

Patient Data

Age: 25 years
Gender: Male

Right 5th carpometacarpal joint dislocation. There is a minimally displaced oblique fracture through the base of the third metacarpal. No further fractures or dislocations are identified.

X-ray

Post-reduction and casting

The right 5th carpometacarpal joint has been reduced and alignment is anatomical. Fracture at the base of the third metacarpal is unchanged in alignment.

Case Discussion

Typical findings in the case of an uncommon carpometacarpal dislocation

This case also demonstrates a base of 3rd metacarpal fracture, which is a commonly associated injury. 

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Case information

rID: 23620
Published: 29th Jun 2016
Last edited: 27th May 2020
Inclusion in quiz mode: Included