CHRONIC TRAUMATIC DISLOCATION OF II-V METACARPAL BONES: CASE REPORT

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Abstract

Dislocations in the carpometacarpal joints of three-phalanx fingers are rare form of injury. Their clinical manifestations are often veiled by swelling, and radiographs in standard views provide little information, which leads to difficulty in diagnosis and a high incidence of unidentified dislocations in the primary treatment. The article describes the basic provisions of the diagnosis and treatment of this type of injury, a clinical case of surgical treatment of undiagnosed dislocations of II-V metacarpal bones in the acute period, and long-term results of treatment.

About the authors

Vladimir Ivanovich Zavarukhin

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: zavarukhin.md@gmail.com
MD, research associate of the department of reconstructive microsurgery and hand surgery.

Ekaterina Sergeevna Morenko

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: emorenko@gmail.com
MD, resident

Sergey Ivanovich Golyana

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: ser.golyana@mail.ru
MD, PhD, scientific advisor of the department of reconstructive microsurgery and hand surgery.

Anton Vladimirovich Govorov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, PhD, research associate of the department of reconstructive microsurgery and hand surgery.

References

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  2. Iftikhar Ahmad Kahlon, Abdul Karim and Zaman Khan. Multiple Carpometacarpal Volar Dislocation. Journal of the College of Physicians and Surgeons Pakistan. 2011;21:49-51.
  3. Jameel J., Zahid M., Abbas M. et al. Volar dislocation of second, third, and fourth carpometacarpal joints: a rare and easily missed diagnosis. Orthopaed Traumatol. 2013;14:67-70.
  4. Kirkham S., Gray R. Multiple carpometacarpal dislocations and an ipsilateral scapho-trapezium-trapezoid fracture-dislo cation: A rare pattern of injury. Journal of Orthopaedic Surgery. 2004;2:267-269.
  5. Navendu Goyal, Rajesh Paul, Shiraz M. Bhatty et al. Dislocations of all the carpometacarpal joints: A rare injury pattern. Journal of Orthopaedics, Traumatology and Rehabilitation. 7:88-90.
  6. Peter M. Prokopis Volar Dislocation of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of the Literature. HSSJ. 2008;4:138-142.
  7. Berger Richard A., Weiss Arnold-Peter C. Hand surgery. Orthop. 2004;1:539-544.
  8. Sharma A. Unusual Case of Carpometacarpal Dislocation of All the four fingers of ulnar side of hand. MJAFI. 2005;61:188-189.

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Copyright (c) 2014 Zavarukhin V.I., Morenko E.S., Golyana S.I., Govorov A.V.

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