Transcarpal carpometacarpal dislocations, excluding the thumb

M. Garcia-Elias, Allen Thorp Bishop, J. H. Dobyns, W. P. Cooney, R. L. Linsc heid

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

During a 9-year period, we treated 13 patients with major fractures of bones of the distal carpal row creating instability of the corresponding carpometacarpal joints. Diagnosis of the injury was made early in only eight patients whose treatment consisted of open reduction, pin or screw fixation, and immobilization from 6 to 8 weeks. They showed no complications and had an excellent functional recovery. Diagnosis in five (38%) patients was delayed 1 week to 8 months after the accident. At initial presentation, symptoms included pain, loss of grip strength, and mild limitation of finger motion. In three patients an acute carpal tunnel syndrome developed a few days after the accident. Two had established nonunions of the capitate and the hamate. Treatment consisted of open reduction, bone grafting, fixation with multiple pins, and immobilization until fracture consolidation. Results in this group were good in one, moderate in three, and poor in one.

Original languageEnglish (US)
Pages (from-to)531-540
Number of pages10
JournalJournal of Hand Surgery
Volume15
Issue number4
StatePublished - 1990

Fingerprint

Thumb
Immobilization
Accidents
Carpometacarpal Joints
Carpal Bones
Carpal Tunnel Syndrome
Bone Transplantation
Bone Fractures
Hand Strength
Fingers
Pain
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Garcia-Elias, M., Bishop, A. T., Dobyns, J. H., Cooney, W. P., & Linsc heid, R. L. (1990). Transcarpal carpometacarpal dislocations, excluding the thumb. Journal of Hand Surgery, 15(4), 531-540.

Transcarpal carpometacarpal dislocations, excluding the thumb. / Garcia-Elias, M.; Bishop, Allen Thorp; Dobyns, J. H.; Cooney, W. P.; Linsc heid, R. L.

In: Journal of Hand Surgery, Vol. 15, No. 4, 1990, p. 531-540.

Research output: Contribution to journalArticle

Garcia-Elias, M, Bishop, AT, Dobyns, JH, Cooney, WP & Linsc heid, RL 1990, 'Transcarpal carpometacarpal dislocations, excluding the thumb', Journal of Hand Surgery, vol. 15, no. 4, pp. 531-540.
Garcia-Elias M, Bishop AT, Dobyns JH, Cooney WP, Linsc heid RL. Transcarpal carpometacarpal dislocations, excluding the thumb. Journal of Hand Surgery. 1990;15(4):531-540.
Garcia-Elias, M. ; Bishop, Allen Thorp ; Dobyns, J. H. ; Cooney, W. P. ; Linsc heid, R. L. / Transcarpal carpometacarpal dislocations, excluding the thumb. In: Journal of Hand Surgery. 1990 ; Vol. 15, No. 4. pp. 531-540.
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