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Séparation traumatique axiale de la médiocarpienne radiale. À propos d'un cas avec revue de la littérature

Authors
Journal
Chirurgie de la Main
1297-3203
Publisher
Elsevier
Publication Date
Volume
20
Issue
5
Identifiers
DOI: 10.1016/s1297-3203(01)00064-6
Keywords
  • Carpe
  • Luxation
  • Trapèze
  • Trapézoı̈De
  • Carpus
  • Dislocation
  • Trapezium
  • Trapezoid

Abstract

Abstract The authors report a case of traumatic axial disruption of the radial mid carpal joint. This unusual type of scapho-trapezo-trapezoı̈dal dislocation occured after a motorcycle accident. Open reduction and pinning was performed. At three years and six months follow up, clinical exam showed less power thumb pinch than the other side. Arthritic changes were noted on X-rays control, but a good range of motion was preserved. Radial mid carpal disruption is uncommon. It includes the separation of the trapezium, trapezoı̈dal, first and second metacarpal bones from the remaining wrist. Only 13 other similar cases were reported in literature for the last three decades. Mechanism of the injury and treatment are discussed.

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