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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 1 Previously published cases in the English literature of carpometacarpal (CMC) dislocation of the thumb associated with trapezium fracture

From: Carpometacarpal dislocation of the thumb associated with fracture of the trapezium

References

Sex

Age (years)

Mechanism of injury

Trapezium fracture classification

Treatment

Follow-up (months)

Result

Tolat and Jones [7]

Male

14

Fall onto an outstretched hand (skateboard)

IIa

Closed reduction splinting 6 weeks

2

Excellent without instability, full ROM

Mody and Dias [14]

Male

24

Motorbike accident

IIa

Open reduction and K-wire fixation; ligament reconstruction

6

Excellent

Kukreti and Harrington [13]

Not reported

26

Sport injury (rugby tackling)

IIa

Closed reduction and K-wire fixation

12

Slight pain, minimal loss of CMC flexion of CMC

Garavaglia et al. [11]

Female

20

Fall while holding the handle of a bucket

IIa

Open reduction and screw fixation

12

Excellent

Garneti and Tuson [9]

Male

24

Sport injury (rugby tackling)

IV

Open reduction and internal fixation with a minifragment 2.7-mm lag compression screw

12

Excellent

Male

18

Sport injury (rugby)

IV

Open reduction and internal fixation with a single 2.7-mm lag screw

9

Excellent

Afshar and Mirzatoloei [6]

Male

30

Motorbike accident

IIa

Closed reduction and K-wire fixation

Not reported

No pain and instability, full ROM

Parker et al. [10]

Male

12

Fall onto an outstretched hand (rollerblade)

IIa

Closed reduction, spanning external fixation

36

Excellent

Morizaki and Miura [15]

Male

31

Fall onto flexed thumb

IIa

Open reduction and internal fixation using suture anchor and K-wire fixation

12

Excellent

Chamseddine et al. [5]

Male

23

Road accident

IV

Open reduction and K-wire fixation

9

Excellent

Ramoutar et al. [12]

Male

27

Fall onto an outstretched hand (football)

IIa

Closed reduction and K-wire fixation

6

Excellent

Mumtaz and Drabu [8]

Male

14

Direct trauma due to hammer hit (open injury)

IV

Irrigation, debridement, and K-wire fixation

12

Gross impairment in opposition and abduction

This case

Male

32

Motorbike accident

IIa

Closed reduction and splinting for 6 weeks

6

Excellent

  1. ROM range of motion