Conservative Treatment of Complete Dislocation of the Thumb Metacarpal in a Hypermobile Patient

Authors

Department of Orthopedics and Traumatology, Near East University Medical Faculty, Nicosia, Cyprus, Turkey

10.4103/atr.atr_30_17

Abstract

Simultaneous dislocation of the thumb carpometacarpal and metacarpophalangeal joints is an uncommon injury. Stability is the most important
factor in the decision of treatment in these rare injuries. The treatment methods range from closed reduction and maintaining reduction with
cast or percutaneous k‑wires to complex reconstruction surgeries. In this paper, a case of 28-year-old female with complete dislocation of
the left thumb metacarpal has been reported. She was treated with closed reduction and cast immobilization with excellent result. Treatment
decision should be based on postreduction stability in complete dislocation of thumb metacarpal; cast immobilization is a management option
in case of stable reduction.

Keywords


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