Chronic Dislocation of the Thumb Carpometacarpal Joint: A Case Report.
chronic dislocation
dorsoradial ligament
ligament repair with augmentation
open reduction
suture bridge
thumb carpometacarpal joint
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
accepted:
26
04
2023
medline:
1
6
2023
pubmed:
1
6
2023
entrez:
1
6
2023
Statut:
epublish
Résumé
Dislocation of the thumb carpometacarpal (CMC) joint is a rare injury; chronic CMC dislocation can lead to significant disability. Traditionally, surgical intervention has focused on the reconstruction of the anterior oblique ligament, though more recently there has been more focus on the dorsoradial ligament. Consideration of both ligaments during CMC joint reconstruction is important to optimize functional outcomes. A 59-year-old male presented with a subacute/chronically dislocated CMC joint of the thumb. Open reduction with pin fixation and dorsoradial ligament repair and augmentation was chosen to restore the stability of the joint. Joint reduction without subluxation was successfully maintained. By 12 weeks postoperatively, there were no remaining major restrictions to activity. Repair of the dorsoradial ligament with augmentation and pinning is a viable approach for surgical management of subacute/chronic dislocation of the thumb CMC joint.
Identifiants
pubmed: 37261143
doi: 10.7759/cureus.38168
pmc: PMC10226843
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e38168Informations de copyright
Copyright © 2023, Kelmer et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Orthop Surg Res. 2010 Mar 10;5:16
pubmed: 20219137
J Hand Surg Am. 2008 Mar;33(3):438-41
pubmed: 18343304
J Bone Joint Surg Am. 2012 Aug 15;94(16):1468-77
pubmed: 22992815
J Orthop. 2021 Apr 01;25:59-63
pubmed: 33927510
J Hand Microsurg. 2020 Oct;12(Suppl 1):S16-S20
pubmed: 33335366
Clin Orthop Relat Res. 2014 Apr;472(4):1138-45
pubmed: 23456188
J Biomech. 2015 Jul 16;48(10):1893-8
pubmed: 25964211
J Hand Surg Am. 2006 Sep;31(7):1160-70
pubmed: 16945721
Arch Bone Jt Surg. 2015 Oct;3(4):300-3
pubmed: 26550598
J Hand Surg Am. 2014 Jun;39(6):1098-107
pubmed: 24810939
J Hand Surg Am. 1986 Mar;11(2):184-8
pubmed: 3958446
J Orthop Sports Phys Ther. 2003 Jul;33(7):386-99
pubmed: 12918864
Hand Clin. 2022 May;38(2):269-279
pubmed: 35465944
Am J Occup Ther. 2016 Jan-Feb;70(1):7001350020p1-4
pubmed: 26709434
JBJS Case Connect. 2018 Jul-Sep;8(3):e49
pubmed: 29995663