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CASE REPORT
Isolated first carpometacarpal joint dislocation managed with closed reduction and splinting
  1. Amanda Mun Yee Slocum1 and
  2. Tun Hing Lui2
  1. 1 Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong
  2. 2 Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong
  1. Correspondence to Dr Amanda Mun Yee Slocum, amandamunyee{at}gmail.com

Abstract

A 56-year-old man, right-hand-dominant office worker, complained of pain and swelling at the base of his right thumb after using his hand to press onto the front passenger seat during an emergency brake. X-ray showed a dorsal dislocation of the first carpometacarpal joint of his right hand. Closed reduction of the joint was performed. As there were no clinical signs of instability post-reduction and X-ray confirmed that the joint was congruent, the joint was immobilised in a thumb spica splint for 6 weeks. His pain subsided and the range of motion of his first carpometacarpal joint was full at 9 weeks post-injury. Two years after the injury, he was asymptomatic and X-ray revealed normal joint anatomy with no obvious subluxation or osteoarthritic change. For patients with first carpometacarpal joint dislocations, non-operative management with splinting is a good option if the joint is stable post-reduction.

  • orthopaedics
  • orthopaedic and trauma surgery
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Footnotes

  • Contributors AMYS prepared the manuscript and literature review. THL provided the clinical material and supervised the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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