Carpometacarpal Dislocation of the Third to Fifth Fingers and an Associated Fracture of the Hamate in a Military Paratrooper. (1st July 2020)

• Record Type: Journal Article
• Authors: Kalinterakis, Georgios; Antonogiannakis, Emmanouil; Abdi, Arezoo; Demetriades, Georgios; Koulouktsis, Alexandros; Syllaios, Athanasios; Koutras, Antonios; Vrouva, Sotiria; Papagiavis, Anastasios; Ziogas, Miltiadis
• Other Names: Lyons Mark K. Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2020(2020)
• Publication Date: 2020-07-01
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2020/2861604
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : Multiple carpometacarpal dislocations with a simultaneous fracture of the hamate represent less than 1% of all injuries to the hand and wrist regions, with a scarcity of published cases. These injuries usually require a great force, and diagnosis can be missed or delayed because of the high likelihood of other severe concomitant injuries. We report a case of acute closed dislocation of the third through fifth carpometacarpal joints and an associated fracture of the hamate in a military paratrooper. The injury was caused by a wrong landing technique during parachuting. The patient was managed with primary surgical repair, and after a six-month follow-up, he has excellent functional results. The fact that both this clinical entity and the mechanism of injury are very unusual a high index of suspicion is needed, especially for orthopedic surgeons working in military hospitals. Additionally, given that there is a paucity of published cases and optional treatment is controversial, this study corroborates the superiority of surgical repair in a long-term basis.