Second and Third Carpometacarpal Joint Dislocation in a Polytrauma Patient: Successful Closed Reduction and 2-Year Follow-Up.
- 1Department of Orthopaedics, Jawaharlal Institute of Post-graduate Medical Education and Research, Puducherry, India.
- 2Department of Orthopaedics, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India.
Abstract
Carpometacarpal joint dislocations are rare injuries that may be overlooked, particularly in high-energy trauma. Second and third carpometacarpal dislocations are especially uncommon due to the inherent stability of these joints. A man in his 20s sustained second and third carpometacarpal joint dislocations following a high-energy road traffic injury, with an associated femoral head fracture-dislocation. Following urgent management of the hip injury, closed reduction of the carpometacarpal dislocations was performed. Stable anatomical reduction was confirmed clinically and radiographically. The hand was immobilized for 4 weeks followed by structured rehabilitation. At 2-year follow-up, the patient remained pain-free with full function and maintained joint congruity without instability or degenerative changes. Second and third carpometacarpal dislocations require careful clinical and radiographic assessment, particularly in polytrauma. When stable anatomical reduction is achieved, conservative treatment can provide excellent long-term functional outcomes.
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BibTeX
@article{salam2026second,
title = {{Second and Third Carpometacarpal Joint Dislocation in a Polytrauma Patient: Successful Closed Reduction and 2-Year Follow-Up.}},
author = {Nabiel Salam and Raghavendra Kaganur and Anirudh Dwajan and S Harshith and A Arunachalam and Issac Bandi},
journal = {Journal of orthopaedic case reports},
year = {2026},
month = nov,
doi = {10.13107/jocr.2026.v16.i11.8378},
url = {https://europepmc.org/article/MED/42997096},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Second and Third Carpometacarpal Joint Dislocation in a Polytrauma Patient: Successful Closed Reduction and 2-Year Follow-Up.
AU - Nabiel Salam
AU - Raghavendra Kaganur
AU - Anirudh Dwajan
AU - S Harshith
AU - A Arunachalam
AU - Issac Bandi
PY - 2026
DA - 2026/11/01
JO - Journal of orthopaedic case reports
DO - 10.13107/jocr.2026.v16.i11.8378
UR - https://europepmc.org/article/MED/42997096
AB - Carpometacarpal joint dislocations are rare injuries that may be overlooked, particularly in high-energy trauma. Second and third carpometacarpal dislocations are especially uncommon due to the inherent stability of these joints. A man in his 20s sustained second and third carpometacarpal joint dislocations following a high-energy road traffic injury, with an associated femoral head fracture-dislocation. Following urgent management of the hip injury, closed reduction of the carpometacarpal dislocations was performed. Stable anatomical reduction was confirmed clinically and radiographically. The hand was immobilized for 4 weeks followed by structured rehabilitation. At 2-year follow-up, the patient remained pain-free with full function and maintained joint congruity without instability or degenerative changes. Second and third carpometacarpal dislocations require careful clinical and radiographic assessment, particularly in polytrauma. When stable anatomical reduction is achieved, conservative treatment can provide excellent long-term functional outcomes.
SN - 2250-0685
SN - 2321-3817
ER -