EMERGENCY CASEBOOK
Volar dislocation of the index carpometacarpal joint in association with a Bennetts fracture of the thumb: a rare injury pattern
Department of Orthopaedics, Cork University Hospital, Wilton, Co. Cork, Ireland
Correspondence to:
Correspondence to:
Dr J P Dillon
Department of Orthopaedics, Cork University Hospital, Wilton, Co. Cork, Ireland; dillonjp{at}o2.ie
We describe a case of volar dislocation of the index carpometacarpal (CMC) joint in association with a Bennetts fracture of the thumb following a motorcycle accident. Volar dislocation of the index carpometacarpal joint is an exceedingly rare but easily missed injury, with only a few reported cases in the literature. This report highlights the importance of a true lateral radiograph and close scrutiny of the film to detect this injury. Closed reduction supplemented with Kirschner wire fixation restored normal anatomical relations and achieved an excellent clinical result.
Abbreviations: CMC, carpometacarpal
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