Carpometacarpal dislocation: Difference between revisions
| Line 5: | Line 5: | ||
==Clinical Features== | ==Clinical Features== | ||
*Cause is usually result of high-speed mechanisms | *Cause is usually result of high-speed mechanisms | ||
* | *Usually dislocates dorsally with associated fracture(s) | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 01:57, 8 June 2017
Background
- Also known as CMC joint
- Uncommon due to strong ligaments and insertions of wrist flexors/extensors
Clinical Features
- Cause is usually result of high-speed mechanisms
- Usually dislocates dorsally with associated fracture(s)
Differential Diagnosis
Hand and finger dislocations
- Finger dislocations
- Thumb dislocations
- Hand dislocations
Evaluation
- X-ray
Management
Reduction
- Traction and flexion with simultaneous longitudinal pressure on metacarpal base
- If unable to reduce or remains unstable, immobilize with both dorsal and volar splints for urgent hand surgeon referral[1]
Disposition
- Refer to hand surgeon
See Also
External Links
References
- ↑ German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.