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Emergency Medicine Journal 2006;23:e23; doi:10.1136/emj.2005.027763
© 2006 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

Volar dislocation of the index carpometacarpal joint in association with a Bennett’s fracture of the thumb: a rare injury pattern

J P Dillon, A J Laing, R Thakral, J M Buckley, K Mahalingam

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

ABSTRACT

We describe a case of volar dislocation of the index carpometacarpal (CMC) joint in association with a Bennett’s 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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This article has been cited by other articles:

  • (2006). Emergency casebook.. Emerg. Med. J. 23: 237-238 [Full Text]  

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