Dislocation of the first carpometacarpal (CMC) is a rare occurrence. Treatment of this dislocation varies from closed reduction and casting to ligament repair. Neglected dislocation or incomplete reduction of the 1(st) CMC cause chronic instability and painful arthritis, muscle imbalance and decreased grip force. In our study 6 patients is evaluated that were visited in less than 24 hours from ...

Division of Plastic and Reconstructive Surgery, University of Toronto, St Joseph’s Health Centre, Toronto, Ontario Correspondence: Dr Kyle Wanzel, Division of Plastic and Reconstructive Surgery, St Joseph’s Health Centre, Suite 707, 1243 Islington Avenue, Etobicoke, Ontario M8X 1Y9. Telephone 416 236-2571, fax 416-236-4591, e-mail [email protected] Metacarpophalangeal (MP) joint injuries and d...

INTRODUCTION Multiple dislocations of joints in the hand are rare. Double dislocations of the thumb joints have only been reported on four previous occasions, in all cases reported to date, the joints have dislocated dorsally. CASE REPORT We present the case of a 26-year-old male patient with simultaneous volar dislocations of the carpometacarpal and metacarpophalangeal joints of the thumb. T...

Recurrent dislocation is not common in small joints. This report presents a new case of chronic recurrent dislocation of proximal interphalangeal joint of the finger in which soft tissue injuries have a role in the dislocation. The patient was a 23 years old man who had referred to our center because of recurrent dislocation of proximal interphalangeal joint of his right ring finger during spor...

Figure 1. Radiograph of N.D. preoperatively, demonstrating thumb hypoplasia and an unstable carpometacarpal joint. Figure 2. Schematic of the hand with hypoplastic thumb to be amputated (dashed lines).

this case report presents a case of fanconi’s anemia with an unusual thumb polydactyly in a 2-year old boy. the extra thumb had no nail, nail bed and distal phalanx. the extra thumb had no active motion.the duplication of the thumb occurred at the carpometacarpal joint but its morphology did not match with any classification described for thumb polydactyly. although his thumb polydactyly was ap...

Synovial osteochondromatosis (SOC) is a benign tumor characterized by synovial connective tissue metaplasia. SOC commonly affects major joints including the knee followed by the hip, elbow, and wrist. SOC cases in the hand are not reported as often as SOC of major joints. Particularly SOC of the carpometacarpal joint of the thumb is rare. We report on a 57-year-old female with primary SOC of th...

BACKGROUND Advanced thumb carpometacarpal arthritis is widely treated with trapeziectomy and tendon interposition despite donor-site morbidities. Trapeziectomy alone leaves a postresection space, leading to proximal metacarpal migration and scaphoid/trapezoid impingement. Prosthetic implants have been unsuccessful due to particulate debris, silicone synovitis, osteolysis, and migration. Recent ...