Carpometacarpal Dislocation of the Thumb Associated with Fracture of the Trapezium

1993 ◽  
Vol 18 (2) ◽  
pp. 197-199 ◽  
Author(s):  
B. S. MODY ◽  
J. J. DIAS

Dislocation of the first carpometacarpal joint combined with a vertical intra-articular fracture of the trapezium is a rare injury. A case is described treated by open reduction of the trapezial fracture and reconstruction of the first intermetacarpal ligament using a slip of abductor pollicis longus tendon.

2010 ◽  
Vol 92 (1) ◽  
pp. e24-e26 ◽  
Author(s):  
CAT Durrant ◽  
G Bantick

Fracture of the base of the third metacarpal with associated avulsion of the extensor carpi radialis brevis tendon is a rare injury. We report such a fracture and the unusual resulting complication of division of the extensor pollicis longus tendon by the avulsed bony fragment. Careful monitoring using lateral radiographs is needed to make the diagnosis and displacement of the avulsed fragment warrants open reduction and internal fixation.


Hand Surgery ◽  
2013 ◽  
Vol 18 (01) ◽  
pp. 99-102 ◽  
Author(s):  
Akio Minami ◽  
Kota Suda ◽  
Norimasa Iwasaki ◽  
Makoto Motomiya

Suspensionplasty was performed using the abductor pollicis longus tendon for osteoarthritis at the carpometacarpal joint of the thumb. The operated wrist had a full range of motion four months after operation; however, there was swelling on the dorsoradial aspect of the wrist and, upon terminal wrist extension, pain was present at the maximum dorsiflexion. Suddenly, one year after operation the patient could not extend the interphalangeal joint of the thumb. Surgical exploration revealed rupture of the extensor pollicis longus tendon. Tenosynovitis at the extensor carpi radialis brevis tendon, where the abductor pollicis longus tendon is sutured, might cause extensor pollicis longus tendon rupture. Late postoperative complications such as this extensor pollicis longus tendon rupture after suspensionplasty using the abductor pollicis longus tendon are extremely rare and this is the first case in the literature.


2006 ◽  
Vol 31 (3) ◽  
pp. 425-428 ◽  
Author(s):  
Osamu Soejima ◽  
Tatsuo Hanamura ◽  
Tomomi Kikuta ◽  
Hiroyuki Iida ◽  
Masatoshi Naito

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