Near-miss Injury of Multiple Carpometacarpal Joint Dislocations: A Report of Two Cases

Authors

  • Kow Ren Yi 1 Department of Orthopaedic Surgery, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia 2 Department of Orthopaedic, Traumatology and Rehabilitation, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
  • Zaharul Azri Mustapha Zakaria Department of Orthopaedic Surgery, Hospital Kuala Lipis, Kuala Lipis, Pahang, Malaysia
  • Ruben Jaya Kumar Department of Orthopaedic Surgery, Hospital Kuala Lipis, Kuala Lipis, Pahang, Malaysia
  • Low Chooi Leng Department of Radiology, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia
  • Khairul Nizam Siron Baharom Department of Orthopaedic, Traumatology and Rehabilitation, International Islamic University Malaysia, Kuantan, Pahang, Malaysia

DOI:

https://doi.org/10.51200/bjms.v15i2.2398

Keywords:

carpometacarpal joint, dislocation, surgery , outcome , near-miss

Abstract

Multiple carpometacarpal joint (CMCJ) dislocations are rare and are easily missed. The anatomical configuration renders stability to the joints. As a result, a high-velocity impact is required to dislocate the joint. We present two cases of multiple carpometacarpal joint dislocations with different mechanisms of injury and their subsequent management at our centre. In case 1, a 29-year-old gentleman presented with acute dislocations of the CMCJs involving the right middle, ring, and little fingers. An open reduction and fixation with Kirschner wires were done to stabilize the dislocated CMCJs and he subsequently recovered. In case 2, a 25-year-old gentleman had the CMCJ dislocations detected late due to other more profound injuries. Partial arthrodesis was performed to address the instability of the CMCJs of the right index, middle and ring fingers. He subsequently recovered and returned to work 6-months postoperatively. The diagnosis of carpometacarpal joint dislocation can be easily missed especially when there is a concurrent distracting injury. It is crucial to maintain a high index of suspicion as early diagnosis and prompt treatment is paramount to yield a better outcome.

Published

2021-05-31

How to Cite

Kow Ren Yi, Zaharul Azri Mustapha Zakaria, Ruben Jaya Kumar, Low Chooi Leng, & Khairul Nizam Siron Baharom. (2021). Near-miss Injury of Multiple Carpometacarpal Joint Dislocations: A Report of Two Cases. Borneo Journal of Medical Sciences (BJMS), 15(2), 59. https://doi.org/10.51200/bjms.v15i2.2398
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