Kalatzis Dimitrios, Zygogiannis Konstantinos, Kaoullas Konstantinos, Zoumpoulis Georgios, Thivaios Georgios C
Orthopedics and Traumatology Department, Laiko General Hospital of Athens, Athens, GRC.
Scoliosis and Spine Department, KAT General Hospital of Athens, Athens, GRC.
Cureus. 2024 Dec 9;16(12):e75354. doi: 10.7759/cureus.75354. eCollection 2024 Dec.
Carpometacarpal (CMC) joint fractures-dislocations are rare due to the complex structure of the carpal bones and strong ligamentous support; while the clinical image is usually "noisy," they present significant management challenges due to the unstable nature of the injury. These injuries are typically caused by high-energy trauma and frequently result in dorsal dislocations. Treatment requires a careful balance between the immobilization and surgical restoration of the anatomical alignment to prevent complications. This report highlights a case of four CMC joint dislocations managed conservatively, yielding positive outcomes despite the usual indications for surgical intervention, avoiding any possible anesthesiological or surgical complications.