Carpometacarpal joint luxation, excluding the thumb, is very uncommon and this injury is often missed at initial examination. The 3rd and 4th carpometacarpal joint fracture-dislocation combined with a 5th carpometacarpal luxation is extremely rare. A few reports have been previously described regarding a neglected type of this injury. A 26-year-old, male laborer, sustained an injury and was admitted to our hospital 5 months later. We reported the case and treatment by using a simple operative technique and our decision for open reduction and primary arthrodesis resulted in excellent hand function.
Cite this paper
Vranjes, M. , Tosic, M. and Baljak, B. (2023). Neglected Dislocation of the Third, Fourth and Fifth Carpometacarpal Joint: A Case Report. Open Access Library Journal, 10, e9924. doi: http://dx.doi.org/10.4236/oalib.1109924.
Siddiqui, Y., Zahid, M., Sabir, A.B., Julfiqar, M. and Kumar, G. (2011) Multiple Carpometacarpal Fracture Dislocation of the Hand—An Uncommon Pattern of Injury Which Is Often Missed: A Case Report with Review of Literaturet. Journal of Clinical and Diagnostic Research, 5, 618-620.
Lahiji, F., Zandi, R. and Maleki, A. (2015) First Carpometacarpal Joint Dislocation and Review of Literatures. The Archives of Bone and Joint Surgery, 3, 300-303.
Chalidis, B.E. and Dimitriou, C.G. (2012) Treatment of Neglected Divergent Dislocation of Hamatometacarpal Complex with a Circular Spider Plate. Journal of Hand Surgery (European Volume), 37, 897-899.
https://doi.org/10.1177/1753193412442466
Zaizi, A., El Yaacoubi, T., El Bahraouy, A., Zamani, O., Boukhris, J., Bouabid, S., et al. (2019) Pure Divergent Dislocation of the Index and Middle Finger Carpometacarpal Joints: A Rare Case. Trauma Case Reports, 23, Article ID: 100222.
https://doi.org/10.1016/j.tcr.2019.100222
Fisher, M.R., Rogers, L.F. and Hendrix, R.W. (1982) A Systematic Approach to the Diagnosis of Carpometacarpal Dislocations. RadioGraphics, 2, 612-627.
https://doi.org/10.1148/radiographics.2.4.612
Fisher, M.R., Rogers, L.F. and Hendrix, R.W. (1983) Systematic Approach to Identifying Fourth and Fifth Carpometacarpal Joint Dislocations. American Journal of Roentgenology, 140, 319-324. https://doi.org/10.2214/ajr.140.2.319
Lefere, M., Dallaudière, B., Omoumi, P., Cyteval, C. and Larbi, A. (2016) Rare Carpometacarpal Dislocations. Orthopaedics & Traumatology: Surgery & Research, 102, 813-816. https://doi.org/10.1016/j.otsr.2016.04.003
Henderson, J.J. and Arafa, M.A. (1987) Carpometacarpal Dislocation. An Easily Missed Diagnosis. The Journal of Bone and Joint Surgery (British Volume), 69, 212-214. https://doi.org/10.1302/0301-620X.69B2.3818751
Zaizi, A., El Yaacoubi, T., El Bahraouy, A., Zamani, O., Boukhris, J., Bouabid, S., et al. (2019) Pure Divergent Dislocation of the Index and Middle Finger Carpometacarpal Joints: A Rare Case. Trauma Case Reports, 23, Article ID: 100222.
https://doi.org/10.1016/j.tcr.2019.100222
Lefere, M., Dallaudière, B., Omoumi, P., Cyteval, C. and Larbi, A. (2016) Rare Carpometacarpal Dislocations. Orthopaedics & Traumatology: Surgery & Research, 102, 813-816. https://doi.org/10.1016/j.otsr.2016.04.003
Nazarian, N., Page, R., Hoy, G., Hayton, M. and Loosemore, M. (2013) Combined Joint Fusion for Index and Middle Carpometacarpal Instability in Elite Boxers. Journal of Hand Surgery (European Volume), 39, 242-248.
https://doi.org/10.1177/1753193413487469
Jung, H.S., Song, M.K. and Lee, J.S. (2020) Use of the Bridge Plate Technique for the Treatment of Hamatometacarpal Fracture-Dislocations. The Journal of Hand Surgery (Asian-Pacific Volume), 25, 67-75. https://doi.org/10.1142/S2424835520500095
Dabire, M.N., Tinto, S., Zeba, Z.A.A., Korsag, A., Darga, C. and Da, S.C. (2022) Complete Dorsal Carpo-Metacarpal Spatular Dislocation: A Case Report. Open Journal of Orthopedics, 12, 26-30. https://doi.org/10.4236/ojo.2022.121003
Prokuski, L.J. and Eglseder, W.A. (2001) Concurrent Dorsal Dislocations and Fracture-Dislocations of the Index, Long, Ring, and Small (Second to Fifth) Carpometacarpal Joints. Journal of Orthopaedic Trauma, 15, 549-554.
https://doi.org/10.1097/00005131-200111000-00003
Kumar, R. and Malhotra, R. (2001) Divergent Fracture-Dislocation of the Second Carpometacarpal Joint and the Three Ulnar Carpometacarpal Joints. Journal of Hand Surgery (American Volume), 26, 123-129.
https://doi.org/10.1053/jhsu.2001.20153
Lawlis, J.F. and Gunther, S.F. (1991) Carpometacarpal Dislocations. Long-Term Follow-Up. The Journal of Bone and Joint Surgery (American Volume), 73, 52-59.
https://doi.org/10.2106/00004623-199173010-00007
