Carpometacarpal dislocation: Difference between revisions
(extra splint detail) |
|||
| Line 14: | Line 14: | ||
===Reduction=== | ===Reduction=== | ||
*Traction and flexion with simultaneous longitudinal pressure on metacarpal base | *Traction and flexion with simultaneous longitudinal pressure on metacarpal base | ||
*If unable to reduce or remains unstable, immobilize with both dorsal and volar splints for urgent hand surgeon referral | *If unable to reduce or remains unstable, immobilize with both dorsal and volar splints for urgent hand surgeon referral<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref> | ||
==Disposition== | ==Disposition== | ||
Revision as of 11:15, 16 October 2016
Background
- Uncommon due to strong ligaments and insertions of wrist flexors/extensors
Clinical Features
- Cause is usually result of high-sped mechanisms
- Dislocates usually dorsally and associated with fracture(s)
Differential Diagnosis
Hand and finger dislocations
- Finger dislocations
- Thumb dislocations
- Hand dislocations
Evaluation
Management
Reduction
- Traction and flexion with simultaneous longitudinal pressure on metacarpal base
- If unable to reduce or remains unstable, immobilize with both dorsal and volar splints for urgent hand surgeon referral[1]
Disposition
- Refer to hand surgeon
See Also
External Links
References
- ↑ German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.
- German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.