دورية أكاديمية
أعرض في EDS

Isolated Second and Third Carpometacarpal Joint Injuries: A Report of 2 Cases.

التفاصيل البيبلوغرافية
العنوان: Isolated Second and Third Carpometacarpal Joint Injuries: A Report of 2 Cases.
المؤلفون: Spratt JD; Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia., Stults P; Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia., Hanson ZC; Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia., Lourie GM; Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia.; The Hand & Upper Extremity Center of Georgia, Atlanta, Georgia.
المصدر: JBJS case connector [JBJS Case Connect] 2023 Jul 31; Vol. 13 (3). Date of Electronic Publication: 2023 Jul 31 (Print Publication: 2023).
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 101596828 Publication Model: eCollection Cited Medium: Internet ISSN: 2160-3251 (Electronic) Linking ISSN: 21603251 NLM ISO Abbreviation: JBJS Case Connect Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Philadelphia : Wolters Kluwer
Original Publication: Needham, MA : Journal of Bone & Joint Surgery, Inc.
مواضيع طبية MeSH: Carpometacarpal Joints*/diagnostic imaging , Carpometacarpal Joints*/surgery, Humans ; Male ; Wrist Joint ; Wrist ; Pain ; Radius ; Arthralgia
مستخلص: Cases: Two high-level male athletes with isolated second and third carpometacarpal (2, 3 CMC) joint injuries presented with mid-dorsal wrist pain, decreased grip strength, and painful wrist motion. Both reported inciting trauma-1 acutely and the other months after the original injury. Both exhibited 2, 3 CMC joint tenderness and positive provocative testing on exam. Advanced imaging confirmed 2, 3 CMC joint injuries. Both patients returned to preinjury level of play 3 months after diagnosis and surgical treatment.
Conclusion: 2, 3 CMC joint injuries should be considered when evaluating radial/mid-dorsal wrist pain. Surgical treatments range from pin stabilization to fusion depending on chronicity and associated degenerative joint changes.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C157).
(Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)
References: Gurland M. Carpometacarpal joint injuries of the fingers. Hand Clin. 1992;8(4):733-44.
Henderson JJ, Arafa MA. Carpometacarpal dislocation. An easily missed diagnosis. J Bone Joint Surg Br. 1987;69-B(2):212-4.
Bushnell BD, Draeger RW, Crosby CG, Bynum DK. Management of intra-articular metacarpal base fractures of the second through fifth metacarpals. J Hand Surg Am. 2008;33(4):573-83.
El-Shennawy M, Nakamura K, Patterson RM, Viegas SF. Three-dimensional kinematic analysis of the second through fifth carpometacarpal joints. J Hand Surg Am. 2001;26(6):1030-5.
Nakamura K, Patterson RM, Viegas SF. The ligament and skeletal anatomy of the second through fifth carpometacarpal joints and adjacent structures. J Hand Surg Am. 2001;26(6):1016-29.
Kleinman WB.In: Lourie GM, ed. Personal Communication Regarding Carpometacarpal Injuries; 1989:3.
Fisher MR, Rogers LF, Hendrix RW. Systematic approach to identifying fourth and fifth carpometacarpal joint dislocations. AJR Am J Roentgenol. 1983;140(2):319-24.
Fisher MR, Rogers LF, Hendrix RW, Gilula LA. Carpometacarpal dislocations. Crit Rev Diagn Imaging. 1984;22(2):95-126.
Carroll RE, Carlson E. Diagnosis and treatment of injury to the second and third carpometacarpal joints. J Hand Surg Am. 1989;14(1):102-7.
Fotiadou A, Patel A, Morgan T, Karantanas AH. Wrist injuries in young adults: the diagnostic impact of CT and MRI. Eur J Radiol. 2011;77(2):235-9.
Zanetti M, Saupe N, Nagy L. Role of MR imaging in chronic wrist pain. Eur Radiol. 2007;17(4):927-38.
Crichlow TP, Hoskinson J. Avulsion fracture of the index metacarpal base: three case reports. J Hand Surg Br. 1988;13(2):212-4.
Imbriglia JE. Chronic dorsal carpometacarpal dislocation of the index, middle, ring, and little fingers: a case report. J Hand Surg Am. 1979;4(4):343-5.
Hunt TR III. Degenerative and post-traumatic arthritis affecting the carpometacarpal joints of the fingers. Hand Clin. 2006;22(2):221-8.
Joseph RB, Linscheid RL, Dobyns JH, Bryan RS. Chronic sprains of the carpometacarpal joints. J Hand Surg Am. 1981;6(2):172-80.
Steinmetz G, Corning E, Hulse T, Fitzgerald C, Holy F, Boydstun S, Lehman T. Carpometacarpal fracture-dislocations: a retrospective review of injury characteristics and radiographic outcomes. Hand (N Y). 2021;16(3):362-7.
Keith J, Wollstein R. Combined dislocation of the trapezoid and finger carpometacarpal joints-the steering wheel injury: case report. J Hand Surg Am. 2010;35(9):1454-6.
Alemohammad AM, Nakamura K, El-Sheneway M, Viegas SF. Incidence of carpal boss and osseous coalition: an anatomic study. J Hand Surg Am. 2009;34(1):1-6.
تواريخ الأحداث: Date Created: 20230731 Date Completed: 20230802 Latest Revision: 20230803
رمز التحديث: 20240628
DOI: 10.2106/JBJS.CC.22.00541
PMID: 37523465
قاعدة البيانات: MEDLINE
الوصف
تدمد:2160-3251
DOI:10.2106/JBJS.CC.22.00541