Citation

Benoit O, Polvèche G, Barbier J, Théry D. Chir. Main 2001; 20(5): 397-402.

Vernacular Title

Fracture-luxation carpometacarpienne du deuxieme rayon a propos d'un cas et revue

Affiliation

Service d'orthopédie-traumatologie, groupe hospitalier de l'Institut catholique de Lille, Centre hospitalier Saint-Vincent, boulevard de Belfort, BP 387, 59020 Lille, France.

Copyright

(Copyright © 2001, Elsevier Publishing)

DOI

unavailable

PMID

11723782

Abstract

A 26-year-old man was involved in a car crash then he presented an isolated trauma of the hand. We found out a dorsal dislocation of the second carpometacarpal joint with trapezoid fracture and a Rolando fracture. In emergency, closed reduction with percutaneous wires to stabilize, was performed. In the same time, the Rolando fracture was treated by internal fixation (plate). In a second time, after computerized tomography of the carpus, the trapezoid was reduced through a dorsal incision and held with two Kirschner-wires. At last follow-up one year after injury, the result was good. All movements of the wrist and fingers were full and pain free. Thumb index pinch and grasp were approximately 80% those of the uninjured hand. The mechanisms of injury, anatomic factors and management of seventy-one cases of similar trauma (included at least a dislocation of the second carpometacarpal joint) were reviewed in the literature.

Language: fr