181 results match your criteria Joint Reduction Thumb Dislocation


Association of Acute Trapeziometacarpal Joint Dislocation and Trapezium Fracture in a 14-Year-Old Boy: A Case Report.

Hand (N Y) 2022 Jun 1:15589447221092121. Epub 2022 Jun 1.

ASST Sette Laghi, Varese, Italy.

Fracture-dislocation of the trapeziometacarpal (TM) joint in adolescent patients is a rare injury, with only 3 cases reported in literature to our knowledge. Its low incidence, together with the complexity of the anatomy and biomechanics of TM joint, may represent a challenge for surgeons in choosing the best treating option. Here, we report a case of a TM fracture dislocation in a 14-year-old boy treated with percutaneous Kirschner wire pinning. Read More

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Management of Acute and Chronic Thumb CMC Joint Dislocations.

Hand Clin 2022 May;38(2):269-279

University of Texas Medical Branch, 301 University Boulevard, McCullough 6.124, Galveston, TX 77555, USA. Electronic address:

Isolated dislocations of thumb CMC joints are rare injuries with serious functional implications. Patients suffering these injuries will have decreased pinch and grip strength. A high-energy, axially directed force on a flexed thumb typically causes dislocation. Read More

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Delayed Open Reduction and Fixation of an Isolated Trapezium Dislocation.

J Hand Surg Glob Online 2022 Jan 20;4(1):57-60. Epub 2021 Oct 20.

Orthopaedic and Traumatology Department, Reims University Hospital (Centre Hospitalier Universitaire de Reims), Reims, France.

We report a case of a 49-year-old patient with an isolated dorsal radial dislocation of the right trapezium that occurred in a context of polytrauma. At first, the lesion went unnoticed. The diagnosis was made 1 month later because of persistent pain in the thumb. Read More

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January 2022

Recurrent Bilateral Basilar Joint Subluxation in a Teenage Boy.

J Hand Surg Glob Online 2021 Nov 19;3(6):363-367. Epub 2021 Aug 19.

Department of Orthopedics, University of Wisconsin Health, Madison, WI.

Carpometacarpal (CMC) joint instability may be caused by either joint trauma or systemic ligamentous laxity in a setting of connective tissue disorders. Bilateral CMC joint dislocation is extremely rare and has only been described in 2 cases, both resulting from high-energy mechanisms in adults. Here, we present a case of recurrent, bilateral CMC joint subluxation and dislocation resulting from low-energy mechanisms in a pediatric patient with no diagnosable connective tissue disorder. Read More

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November 2021

Traumatic lesions at the thumb base: Treatment options.

Hand Surg Rehabil 2022 06 12;41(3):281-295. Epub 2022 Feb 12.

Service de chirurgie orthopédique et traumatologique, chirurgie plastique, Centre Hospitalier Régional Universitaire de Besançon, 3 Boulevard Fleming, 25000 Besançon, France.

Traumatic lesions around the base of the thumb have special features due to the location and structure of the joint and its inherent potential instability. This causes different fracture patterns, which are mostly isolated around the metacarpal base but can also involve just the trapezium or both. Exceptionally, there may be isolated dislocation. Read More

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Chronic volar dislocation of the metacarpophalangeal joint of the thumb treated with open reduction: A case report and literature review.

J Orthop Sci 2021 Oct 21. Epub 2021 Oct 21.

Department of Orthopaedic Surgery, Japan Community Healthcare Organization Osaka Hospital, Osaka, Japan.

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October 2021

Traumatic Isolated Thumb Carpometacarpal Joint Dislocation - Report of Two Clinical Cases.

Rev Bras Ortop (Sao Paulo) 2021 Aug 29;56(4):528-532. Epub 2020 May 29.

Centro Hospitalar de Entre Douro e Vouga (CHEDV), Santa Maria da Feira, Portugal.

Isolated thumb carpometacarpal joint dislocation is a rare lesion that accounts for less than 1% of all hand lesions. The authors present two cases of traumatic isolated thumb carpometacarpal joint dislocation. One of them was treated with closed reduction and cast immobilization, and the other was treated with closed reduction, Kirschner-wires pinning, and cast immobilization. Read More

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Thumb Carpometacarpal Instability.

J Am Acad Orthop Surg 2021 Nov;29(22):943-950

From the Attending Hand Surgeon, New York Hand & Wrist Center of Lenox Hill, New York, NY (Rabinovich, Beldner, and Polatsch), and the Attending Hand Surgeon, Cedars-Sinai Kerlan-Jobe Institute, Los Angeles, CA (Shin).

The basal joint complex of the thumb provides the framework necessary for function of the human hand. Although its unique saddle articulation allows for a wide range of motion necessary for routine function of the hand, it is rendered inherently unstable because of poor bony congruency and reliance on its capsuloligamentous support. Painful instability of this joint can stem from several causes including traumatic dislocation, various hypermobility conditions, and chronic overuse and microtrauma. Read More

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November 2021

Neglected volar subluxation of the metacarpophalangeal joint of the thumb: A case report.

Acta Biomed 2021 04 30;92(S1):e2021034. Epub 2021 Apr 30.

Medicine Hospital, Istanbul, Turkey.

We present an 30 year-old female patient with a volar subluxation of the metacarpophalangeal joint of the thumb.Dislocation  of the metacarpophalangeal joint is rare ; volar subluxation is much more rare. Open reduction was performed through a dorsal incision because of the soft tissue interposition. Read More

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Comparison between the MAIA Implant and Trapeziectomy for Trapeziometacarpal Osteoarthritis: Outcomes at 9 Years' Follow-Up.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):158-165

Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé, Nancy University Hospital, Nancy, France.

The purpose of this retrospective study was to report and compare the outcomes of the MAIA prosthesis and trapeziectomy for trapeziometacarpal osteoarthritis. We included 92 consecutive patients (8 men, 84 women) with a mean age of 57 years (range 44-75 years) who underwent trapeziectomy (44 patients) or trapeziometacarpal joint replacement with a MAIA prosthesis (48 patients) for painful osteoarthritis. All patients were evaluated (pain, range of motion, strength, function, X-rays) by an independent examiner. Read More

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Management of thumb carpometacarpal joint dislocations: A systematic review.

J Orthop 2021 May-Jun;25:59-63. Epub 2021 Apr 1.

Department of Orthopaedic Surgery, Detroit Medical Center, Detroit, MI, 48201, USA.

Although rare, thumb Carpometacarpal (CMC) joint dislocations can have significant complications which impact hand function. Optimal management is crucial in restoring pinch and grasp strength, but no agreement exists regarding treatment due to a paucity of literature on this subject. Systematic review was conducted involving non-operative and operative management of the CMC joint. Read More

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Nerve Grafting for Chronic PIN Palsy Due to Radiocapitellar Joint Entrapment 2 Years Following Closed Reduction of a Pediatric Monteggia Fracture-Dislocation: A Case Report With 1-Year Follow-up.

Hand (N Y) 2021 11 24;16(6):NP10-NP14. Epub 2021 Jan 24.

McMaster University, Hamilton, ON, Canada.

This article describes the first case of successful nerve grafting for posterior interosseous nerve (PIN) palsy secondary to radiocapitellar joint entrapment 2 years following closed reduction (CR) of a pediatric Monteggia fracture-dislocation (MFD). Patient notes were examined. The literature was reviewed to determine whether similar cases or techniques had been reported. Read More

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November 2021

Accuracy of fluoroscopic examination in the treatment of Bennett's fracture.

BMC Musculoskelet Disord 2021 Jan 4;22(1). Epub 2021 Jan 4.

Department of Hand Surgery, Beijing Ji Shui Tan Hospital and the 4th Medical College of Peking University, Xin jie kou dong jie 31, Xi Cheng Qu, Beijing, 100035, China.

Background: Restoration of joint congruity is an important factor for the prevention of subsequent arthritis in patients with Bennett's fracture. Surgical treatment of Bennett's fracture is thus generally recommended for displaced intra-articular fractures to the proximal aspect of the thumb metacarpal. Fluoroscopic examination is used to evaluate the adequacy of closed reduction after pinning of Bennett's fracture. Read More

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January 2021

Costal cartilage graft for an unstable post-traumatic trapeziometacarpal intra-articular malunion in a pediatric patient: A case report.

Hand Surg Rehabil 2021 04 5;40(2):198-201. Epub 2020 Dec 5.

Hand Surgery and Peripheral Nerves Unit, Division of Orthopedics and Trauma Surgery, Geneva University Hospital, Rue Gabrielle Perret Gentil 4, 1211 Geneva, Switzerland.

Trapeziometacarpal dislocation is a rare traumatic lesion, especially in the pediatric population. Various treatments have been described for acute cases. We report the case of a 15-year-old boy who was admitted in the emergency department with chronic post-traumatic trapeziometacarpal dislocation due to an untreated first metacarpal base fracture (Bennett), with complete articular destruction. Read More

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Surgical Treatment for Delayed Ulnar Carpometacarpal Fracture-Dislocations.

J Wrist Surg 2020 Jun 5;9(3):235-239. Epub 2019 Jul 5.

Department of Orthopaedic Surgery, Graduate School of Medicine, Mie University, Tsu City, Japan.

 Fracture and dislocations of the carpometacarpal (CMC) joints except the thumb are relatively rare. Herein, we report the case of a delayed fracture-dislocation of fourth and fifth carpometacarpal joints.  The patient is a 41-year-old, right-handed male. Read More

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Recurrent volar dislocation of the metacarpophalangeal joint of the thumb with radial collateral ligament injury: A case report.

Int J Surg Case Rep 2020 6;68:96-99. Epub 2020 Feb 6.

Department of Orthopedic Surgery, Tokyo Women's Medical University, Japan.

Introduction: A volar dislocation of the metacarpophalangeal (MCP) joint of the thumb is a rare trauma, and in combination with a radial collateral ligament (RCL) injury is much rarer. We present a surgical case with a recurrent volar dislocation of the MCP joint of the thumb with RCL injury.

Presentation Of Case: A 47-year-old man was referred to our hospital in the subacute phase. Read More

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February 2020

Long-term Outcomes of Silastic Arthroplasty of the Thumb Metacarpophalangeal Joint.

Hand (N Y) 2021 09 3;16(5):632-637. Epub 2019 Oct 3.

Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Silastic metacarpophalangeal arthroplasty (SMPA) has proven to be a durable option for end-stage arthritis in the non-thumb digits, while fusion has been the mainstay procedure for the thumb metacarpophalangeal joint (MP). Few studies exist to comment on the viability of thumb MP arthroplasty. This study reports both survival and objective outcomes following SMPA of the thumb. Read More

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September 2021

Complex metacarpophalangeal joint dislocation of the litter finger: A sesamoid bone seen within joint. What does it mean?

Trauma Case Rep 2019 Oct 25;23:100225. Epub 2019 Jul 25.

Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V (HMIMV), University Mohamed V Faculty of Medecine and Pharmacy, BP 10100 Rabat, Morocco.

Dislocation of the metacarpophalangeal joint is a rare injury. The index finger is most frequently involved, followed by the thumb; the little finger is very seldom affected. The Complex dislocation of the little finger metacarpophalangeal joint is extremely rare. Read More

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October 2019

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

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. Read More

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Dorsal Metacarpophalyngeal Dislocations of Thumb in Children-Clues to the Clinical Decision Making and a Dorsal Approach to Open Reduction.

Authors:
P Baral

Kathmandu Univ Med J (KUMJ) 2018 Apr-Jun;16(62):191-195

Department of Orthopaedics, BP Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal.

Dorsal Metacarpophalyngeal joint dislocation of thumb in children is a rare occurrence. All the three different types, namely Simple Complete, Complex Complete and Incomplete dislocations have been described in this article with clinical and radiological clues to differentiate the closely reducible (simple) dislocations from irreducible ones (complex). A simple approach to treatment decision making has been adopted for all cases, starting with attempt of closed reduction which if fails, moving to open reduction. Read More

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Locked Thumb Metacarpophalangeal Joint Caused by Entrapment of the Sesamoid Bone: A Report of 2 Cases.

Ann Plast Surg 2019 01;82(1S Suppl 1):S130-S135

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, and.

Locked thumb metacarpophalangeal joint caused by entrapment of the sesamoid bone is an uncommon entity. The intact volar plate, strong ligamentous attachment between the sesamoid bone and the joint, and altered axis of inserted muscle all contribute to failure of closed reduction. The patient's history, clinical presentation, and plain radiographic findings are all important clues to diagnosing this rare disease. Read More

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January 2019

Braces and Splints for Common Musculoskeletal Conditions.

Am Fam Physician 2018 11;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

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November 2018

Bennett Fractures: A Biomechanical Model and Relevant Ligamentous Anatomy.

J Hand Surg Am 2019 Feb 8;44(2):154.e1-154.e5. Epub 2018 Jun 8.

Department of Orthopedic Surgery, Stanford Hospital and Clinics, Redwood City, CA.

Purpose: This study examined a palmar beak fracture model to determine which thumb carpometacarpal (CMC) joint ligament is the primary ligament relevant to the pattern of injury.

Methods: Six fresh-frozen cadaveric wrists were used. The radius, ulna, and first metacarpal were secured and tested with a materials testing system, holding the wrist in 20° extension, 20° ulnar deviation, and 30° palmar abduction of the first metacarpal. Read More

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February 2019

Vertical locking of the metacarpophalangeal joint of the little finger: A case report.

Authors:
Yasuhiro Seki

Chin J Traumatol 2017 Oct 22;20(5):303-304. Epub 2017 Sep 22.

Department of Orthopaedic Surgery, Suwa Central Hospital, 4300 Tamagawa, Chino, Nagano 391-8503, Japan. Electronic address:

Locking of the metacarpophalangeal (MCP) joint is commonly caused by hyperextension of the thumb or moderate flexion of the index or middle finger. We report a rare case of vertical locking of the MCP joint of the little finger in a 16-year old female after blunt trauma to the little finger. The MCP joint was locked when positioned at approximately 90-degree-flexion and could not extend actively or passively. Read More

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October 2017

Volar Dislocation of Second, Third and Fourth Carpometacarpal Joints in Association with a Bennet's Fracture of the Thumb .

Open Orthop J 2017 29;11:1035-1040. Epub 2017 Aug 29.

Department of Orthopaedic Surgery, Hospital Sant Joan de Deu de Manresa (Fundació Althaia Xarxa Assistencial Universitària de Manresa), C/ Dr.Joan Soler, 1-3, 08243 Manresa, Barcelona, Spain.

Injuries of the carpometacarpal joints of the long fingers are infrequent and go often unnoticed if a thorough clinical exploration and complete radiological assessment is not carried out. The overall frequency of carpometacarpal joints injuries is of 1-2% among trauma of the wrist and the carpus. These are normally secondary to high energy trauma (such as a car or a motorbike accidents). Read More

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Multiple Carpometacarpal Dislocations of the Hand - An Uncommon Variant: A Rare Case.

J Hand Surg Asian Pac Vol 2017 Sep;22(3):371-375

‡ Department of Orthopedics, Goa Medical College, Bambolim, Goa, India.

Carpometacarpal fracture dislocations of the hand are a relatively uncommon injury. The injury is difficult to diagnose because of the gross swelling of the hand. The diagnosis of this unusual form of injury requires a high index of suspicion, vigilant examination and high-quality radiography. Read More

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September 2017

Radiographic Analysis of Simulated First Dorsal Interosseous and Opponens Pollicis Loading Upon Thumb CMC Joint Subluxation: A Cadaver Study.

Hand (N Y) 2018 01 16;13(1):40-44. Epub 2017 Feb 16.

6 Stryker Spine, Allendale, NJ, USA.

Background: Therapy programs to treat thumb carpometacarpal (CMC) arthritis may engage selective activation and reeducation of thenar muscles, particularly the first dorsal interosseous (FDI) and opponens pollicis (OP) to reduce subluxation of the joint. We describe the effect of simulated selective activation of the FDI and OP muscles upon radiographic subluxation of the thumb CMC joint.

Methods: In a cadaver model of CMC subluxation, loads were applied to the FDI, the OP, and then concomitantly at 0%, 25%, 50%, 75%, and 100% maximal loads and radial subluxation of the joint and reduction in subluxation was measured. Read More

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January 2018

MAÏA Trapeziometacarpal Joint Arthroplasty: Clinical and Radiological Outcomes of 80 Patients With More than 6 Years of Follow-Up.

J Hand Surg Am 2017 Oct 13;42(10):838.e1-838.e8. Epub 2017 Jul 13.

Division of Shoulder, Hand and Upper Extremity Surgery, Clinique Beau Soleil, Polyclinique Saint Jean, Montpellier, France.

Purpose: Trapeziometacarpal (TMC) total joint replacement is increasingly being performed in Europe. MAÏA TMC total joint arthroplasty is a modular uncemented ball-and-socket hydroxyapatite-coated implant. This study assessed the midterm clinical and radiological results of the MAÏA TMC prosthesis. Read More

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October 2017

Volar dislocation of the metacarpophalangeal joint of the thumb: A case report.

Acta Orthop Traumatol Turc 2017 Jul 27;51(4):352-354. Epub 2017 Apr 27.

Bagcilar Training and Research Hospital, Department of Orthopedic and Traumatology, Istanbul, Turkey.

We present an 18 year-old patient with a volar dislocation of the metacarpophalangeal joint of the thumb. Open reduction was performed through a dorsal incision. Because of the soft tissue interposition such as dorsal capsule, volar plate, dislocated extensor pollicis longus and brevis tendons, ruptured ulnar collateral ligament; open reduction, soft tissue and ligament repair are recommended for this type of thumb dislocations. Read More

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Scaphotrapeziotrapezoidal Joint Osteoarthritis: A Systematic Review of Surgical Treatment.

J Hand Surg Asian Pac Vol 2017 03;22(1):1-9

1 Department of Hand Surgery, Salford Royal NHS Foundation Trust, Stott Lane, Salford, UK.

Background: The management of scaphotrapeziotrapezoidal (STT) joint osteoarthritis (OA) remains controversial. This systematic review aims to review the evidence for surgical interventions specific to STT OA.

Methods: Medline and Embase libraries were searched using a pre-defined search strategy in October 2014. Read More

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