What is it about?

After major blunt trauma to a hand, the injury resulted in multiple joints being dislocated in an unusual direction in an unusual location. The associated muscle and ligament injuries as well as a major nerve being under pressure required expert management involving two senior Orthopaedic surgeons

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Why is it important?

Dislocations in the joints between wrist (carpal) bones and metacarpal (long bones in the hand) bones are easily missed by experienced doctors, including bone specialists because the injury is relatively uncommon and it needs urgent surgical intervention especially when associated with a major nerve being under pressure, and could die if not treated emergently. This would lead to very poor hand function

Perspectives

Because of the rarity and severity of the injury, two senior surgeons were required to work out how to address the specifics of this unique injury

Doctor CARY Keith FLETCHER

Read the Original

This page is a summary of: Multiple Volar Carpometacarpal Dislocations with Associated Carpal Tunnel Syndrome: A Case Report, WIMJ Open, April 2015, West Indian Medical Journal,
DOI: 10.7727/wimjopen.2015.118.
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