Volar Dislocation of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of the Literature

Peter M. Prokopis, MD
Department of Hand and Upper Extremity Surgery, The Hospital for Special Surgery
Sports Medicine North


Andrew J. Weiland, MD
Department of Hand and Upper Extremity Surgery, The Hospital for Special Surgery


Abstract
We report the treatment of a volar dislocation to the fourth and fifth carpometacarpal (CMC) joints. Plain radiographs were used to evaluate this unusual injury before surgery. Open reduction and internal fixation using K-wires restored the normal anatomic relationships of the CMC joints. This very rare injury is often difficult to recognize. A careful neurologic assessment of the patient is a necessity, as well as obtaining proper radiographs of the hand. A review of the literature is presented.

This Article appears in HSS Journal: Volume 4, Number 2.
View the full article at springerlink.com.

About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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