A Case study on the Treatment of Severe Displacement of the Thumb Carpometacarpal Joints

• Swathi, Vundela ^[1] ; Dash, Aniruddh ^[2] ; Majhee, Chandana ^[3] ; Sudan , Prerak ^[4] ; Satre , V.A ^[5] ; Reddy, B ^[6]
  1. [1] Centre for Multidisciplinary Research, Anurag University, Hyderabad, Telangana, India
  2. [2] Department of Orthopedics, IMS and SUM Hospital, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
  3. [3] Noida Institute of Engineering and Technology Pharmacy Institute, Greater Noida, Uttar Pradesh, India
  4. [4] Centre of Research Impact and Outcome, Chitkara University, Rajpura- 140417, Punjab, India
  5. [5] Dept. of Orthopaedics, Krishna Institute of Medical Sciences, Krishna Vishwa Vidyapeeth “Deemed to be University”, Taluka-Karad, Dist-Satara, Pin-415 539, Maharashtra, India
  6. [6] Chitkara Centre for Research and Development, Chitkara University, Himachal Pradesh-174103 India

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• Localización: Health Leadership and Quality of Life, ISSN-e 3008-8488, Vol. 4, Nº. 0, 2025
• Idioma: inglés
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  • Severe disability might result from a chronic carpometacarpal (CMC) dislocation. Displacement of the pollex's CMC joint is a rather rare damage. The anterior oblique ligament (AOL) has historically been the focus of surgical surgery, but more lately, the dorsoradial ligament (DRL) has drawn greater attention. Both ligaments must be considered to get the optimum functional outcomes during CMC joint rehabilitation. The purpose of this research was to examine the treatment of a case with severe dislocation of the thumb CMC joints. Case report: Following a motorbike accident, a 34-year-old man came with acute discomfort in his left hand. The diagnosis is that the man had many second to fifth CMC joint fracture-dislocations. Under general anesthesia, man had successful closure reduction and numerous Kirshner wire (K-wire) fixation. Excellent clinical outcomes tore verified after a one-year follow-up. Nonetheless, it includes the proportion of patient average mean value, loss of reduction, DASH score, Numeric rating scale (NSR), grip strength. For all dislocations of the CMC joint, it is advisable to use the closed reduction. To get a stable fixation and fantastic outcomes, K-wire fixation maybe incorporated. Acute or subacute thumb CMC joint displacement may be cured by fixing the dorsoradial muscle and anchoring it. Rarely do CMC fracture-dislocations include several bones. For a precise diagnosis, simple radiography and clinical exams are required. It is common practice to treat fractures and dislocations. Successful in the instance was a straightforward closed reduction with K-wires repair.