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Isolated first carpometacarpal joint dislocation managed with closed reduction and splinting.

Authors:
Amanda Mun Yee Slocum Tun Hing Lui

BMJ Case Rep 2019 Mar 31;12(3). Epub 2019 Mar 31.

Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong.

A 56-year-old man, right-hand-dominant office worker, complained of pain and swelling at the base of his right thumb after using his hand to press onto the front passenger seat during an emergency brake. X-ray showed a dorsal dislocation of the first carpometacarpal joint of his right hand. Closed reduction of the joint was performed. As there were no clinical signs of instability post-reduction and X-ray confirmed that the joint was congruent, the joint was immobilised in a thumb spica splint for 6 weeks. His pain subsided and the range of motion of his first carpometacarpal joint was full at 9 weeks post-injury. Two years after the injury, he was asymptomatic and X-ray revealed normal joint anatomy with no obvious subluxation or osteoarthritic change. For patients with first carpometacarpal joint dislocations, non-operative management with splinting is a good option if the joint is stable post-reduction.

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http://dx.doi.org/10.1136/bcr-2018-228715DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453362PMC
March 2019

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