TITLE:
Complete Dorsal Carpo-Metacarpal Spatular Dislocation: A Case Report
AUTHORS:
Mwinyanne Narcisse Dabire, Sayouba Tinto, Zakaria Abdel Aziz Zeba, Alexandre Korsag, Christian Darga, Songahir Christophe Da
KEYWORDS:
Dislocation, Carpo-Metacarpal, Spatular, Traumatic Hand
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.12 No.1,
January
24,
2022
ABSTRACT: Carpo-metacarpal dislocations are rare traumatic injuries resulting from
violent trauma; they are mostly observed in young subjects. The spatular form
is often accompanied by metacarpal fractures. We report a clinical case of
complete dorsal carpo-metacarpal spatular dislocation. This was a 34-year-old
patient, admitted for a closed trauma of the right hand, in whom the clinical
examination noted edema of the hand. The radiological workup showed a complete
dorsal spatular dislocation associated with a fracture of the base of the 2nd
metacarpal. The reduction of these lesions in closed focus followed by
stabilization by metacarpal broaching associated with an intermetacarpal
transverse broach was done under scopic control in emergency. Functional
rehabilitation was started in the 3rd week. The broaches were ablated at the
6th week. The functional result at 3 months was satisfying with good muscle
strength. Resumption of work was effective at 8 weeks. Carpo-metacarpal dislocations
are rare injuries, often unrecognized, especially in polytrauma patients, and
have a good functional prognosis if they are managed correctly in an emergency.