Post-traumatic wind swept deformity: five volar carpometacarpal dislocations

BMJ Case Rep. 2019 May 8;12(5):e229561. doi: 10.1136/bcr-2019-229561.

Abstract

Carpometacarpal (CMC) joint dislocation other than thumb are rare injuries and can be easily missed. These injuries account for <1% of all hand injuries and are frequently overlooked or missed. CMC dislocations can occur either in dorsal or volar direction and be associated with fractures. However, dorsal dislocation is more commonly encountered than volar dislocation. Volar CMC joint dislocations are rare and need a high level of suspicion for diagnosing and prevention of complications. We present a 36-year-old woman with post-traumatic neglected volar dislocation of all the five CMC joints leading to a windswept deformity of the hand.

Keywords: musculoskeletal and joint disorders; orthopaedics; radiology; trauma.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Adult
  • Bone Wires
  • Carpometacarpal Joints / diagnostic imaging*
  • Carpometacarpal Joints / physiopathology
  • Carpometacarpal Joints / surgery
  • Casts, Surgical
  • Delayed Diagnosis
  • Female
  • Fracture Fixation, Internal*
  • Hand Deformities / diagnostic imaging*
  • Hand Deformities / surgery
  • Hand Injuries / diagnostic imaging*
  • Hand Injuries / physiopathology
  • Hand Injuries / surgery
  • Humans
  • Joint Dislocations / diagnostic imaging*
  • Joint Dislocations / physiopathology
  • Joint Dislocations / surgery
  • Radiography
  • Treatment Outcome