Carpo-metacarpal fracture-dislocations with hamatum split fracture

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

Hit a concrete wall with his fist as his opponent ducked. Lost the fight.

Patient Data

Age: 18 years
Gender: Male

Intra-articular multifragmentary fractures of the metacarpal bases III and IV with dorsal dislocation of the shaft fragments. Split fracture of the hamate due to the 5th metacarpal being driven into it.

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