Acute Closed Dislocation of the Second through Fourth Carpometacarpal Joints: Satisfactory Treatment with Closed Reduction and Immobilization

Abstract

Fracture dislocations of the carpometacarpal (CMC) joints are a rare injury in the hand. Dorsal dislocations are the most frequently reported [11]. Stronger dorsal ligaments and wrist extensor restraints cause failure of the bone dorsally with subsequent rupture of the volar ligaments, allowing for dorsal fracture dislocations to occur more commonly than volar dislocations [7]. In most cases, treatment of such injuries requires open reduction and internal fixation (ORIF) or closed reduction with percutaneous pinning [9]. The purpose of this report is to present a patient with radially deviated fracture dislocations of the second through fourth CMC joints that were satisfactorily treated with closed reduction.