Double dislocation of carpometacarpal and metacarpo-phalangeal joints of thumb is also called ‘floating thumb metacarpal’. This rare injury usually presents with combined joints dislocation and collateral ligaments rupture, which may be predisposing to joint instability after closed reduction. We report a case of traumatic and chronic dislocation of carpometacarpal and metacarpo-phalangeal joints of left thumb in a 63-year-old housewife. Failure of non-operative treatment was found up to 1 month after injury due to missed follow-up. Closed reduction was tried but failed because of joints stiffness. Open reduction and K-wire fixation were performed and radial collateral ligaments were repaired. Patient restored good functional outcome with no evidence of arthritis or subluxation at 1 year. Open reduction and fixation show good result in our case with delayed surgical intervention. The management of a floating thumb could be non-operative by close reduction and cast immobilization. However, closed monitoring and regular follow-up are critical after non-operative treatment to avoid potential risk of post-operative complications.
| Published in | Journal of Surgery (Volume 7, Issue 1) |
| DOI | 10.11648/j.js.20190701.15 |
| Page(s) | 24-27 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Double Dislocation of Carpometacarpal and Metacarpo-Phalangeal, Floating Thumb, Carpometacarpal, Metacarpo-Phalangeal
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APA Style
Xiang Li, Frankie Leung, Christian Fang, Tak Man Wong. (2019). Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report. Journal of Surgery, 7(1), 24-27. https://doi.org/10.11648/j.js.20190701.15
ACS Style
Xiang Li; Frankie Leung; Christian Fang; Tak Man Wong. Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report. J. Surg. 2019, 7(1), 24-27. doi: 10.11648/j.js.20190701.15
AMA Style
Xiang Li, Frankie Leung, Christian Fang, Tak Man Wong. Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report. J Surg. 2019;7(1):24-27. doi: 10.11648/j.js.20190701.15
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Download@article{10.11648/j.js.20190701.15,
author = {Xiang Li and Frankie Leung and Christian Fang and Tak Man Wong},
title = {Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report},
journal = {Journal of Surgery},
volume = {7},
number = {1},
pages = {24-27},
doi = {10.11648/j.js.20190701.15},
url = {https://doi.org/10.11648/j.js.20190701.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190701.15},
abstract = {Double dislocation of carpometacarpal and metacarpo-phalangeal joints of thumb is also called ‘floating thumb metacarpal’. This rare injury usually presents with combined joints dislocation and collateral ligaments rupture, which may be predisposing to joint instability after closed reduction. We report a case of traumatic and chronic dislocation of carpometacarpal and metacarpo-phalangeal joints of left thumb in a 63-year-old housewife. Failure of non-operative treatment was found up to 1 month after injury due to missed follow-up. Closed reduction was tried but failed because of joints stiffness. Open reduction and K-wire fixation were performed and radial collateral ligaments were repaired. Patient restored good functional outcome with no evidence of arthritis or subluxation at 1 year. Open reduction and fixation show good result in our case with delayed surgical intervention. The management of a floating thumb could be non-operative by close reduction and cast immobilization. However, closed monitoring and regular follow-up are critical after non-operative treatment to avoid potential risk of post-operative complications.},
year = {2019}
}
TY - JOUR T1 - Floating Thumb with Simultaneous Carpometacarpal and Metacarpo-phalangeal Dislocation: A Case Report AU - Xiang Li AU - Frankie Leung AU - Christian Fang AU - Tak Man Wong Y1 - 2019/04/22 PY - 2019 N1 - https://doi.org/10.11648/j.js.20190701.15 DO - 10.11648/j.js.20190701.15 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 24 EP - 27 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20190701.15 AB - Double dislocation of carpometacarpal and metacarpo-phalangeal joints of thumb is also called ‘floating thumb metacarpal’. This rare injury usually presents with combined joints dislocation and collateral ligaments rupture, which may be predisposing to joint instability after closed reduction. We report a case of traumatic and chronic dislocation of carpometacarpal and metacarpo-phalangeal joints of left thumb in a 63-year-old housewife. Failure of non-operative treatment was found up to 1 month after injury due to missed follow-up. Closed reduction was tried but failed because of joints stiffness. Open reduction and K-wire fixation were performed and radial collateral ligaments were repaired. Patient restored good functional outcome with no evidence of arthritis or subluxation at 1 year. Open reduction and fixation show good result in our case with delayed surgical intervention. The management of a floating thumb could be non-operative by close reduction and cast immobilization. However, closed monitoring and regular follow-up are critical after non-operative treatment to avoid potential risk of post-operative complications. VL - 7 IS - 1 ER -
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