A rare combined injury of dorsal fracture-dislocation of four carpometacarpal joints and trapezium, trapezoid and distal radius bone fractures

A rare combined injury of dorsal fracture-dislocation of four carpometacarpal joints and trapezium, trapezoid and distal radius bone fractures

Authors

  • Georgios Touloupakis Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Wilfried Stuflesser Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Guido Antonini Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Fabrizio Ferrara Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Cornelio Crippa Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Maria Gabriella Lettera Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy

Keywords:

Multiple carpometacarpal dislocation, radius fracture concomitant carpal lesions, open reduction internal fixation, metacarpal bones

Abstract

Incorrect or delayed diagnosis and treatment of the carpometacarpal fracture-dislocations is often associated with poor prognosis. We present a rare case of unusual pattern of injury, involving dorsal dislocation of four ulnar carpometacarpal joints, associated with fracture of the trapezium, a burst fracture of the trapezoid  bone and an extra-articular fracture of the third distal  of the radius.
The first surgical intervention was followed by unsatisfactory results, confirmed by the CT scans. A second surgery followed and an open reduction and pinning with K wires performed. Post-operative follow up lasting for nine months revealed a very good surgical outcome.

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Published

06-05-2016

How to Cite

1.
Touloupakis G, Stuflesser W, Antonini G, Ferrara F, Crippa C, Lettera MG. A rare combined injury of dorsal fracture-dislocation of four carpometacarpal joints and trapezium, trapezoid and distal radius bone fractures. Acta Biomed [Internet]. 2016 May 6 [cited 2024 Jul. 13];87(1):101-5. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/5142