Table 1 Published cases with isolated thumb CMC dislocation in English literature
From: Isolated thumb carpometacarpal joint dislocation: a case report and review of the literature
| Study | Year | Number of cases | Treatment | Result |
|---|---|---|---|---|
|
Shah J and Patel
7
Clin Orthop Relat Res | 1983 | 4 |
A. Open reduction + pinning (2 patients) B. Closed reduction pinning (1 patient) C. Open reduction + cast in (1 patient) |
A. Dorsal subluxation, mild arthritic changes. B and C. No subluxation - Normal range of motion |
|
Watt N and Hooper G
8
J Hand Surg | 1987 | 12 |
A. Closed reduction + cast (6 patients) B. Closed reduction + cast after 3-21 days (3 patients) C. Closed reduction + pinning + cast (3 patients) |
A. Asymptomatic instability B. Pain and instability C. No pain or instability |
|
Chen VT
2
J Hand Surg (Br) | 1987 | 1 | Ligament reconstruction | Good functional result |
|
Jacobsen CW and Elberg JJ
3
Scand J Plast Reconstr Surg Hand Surg | 1988 | 1 | Closed reduction + pinning | Slight instability |
|
Simonian PT and Trumble TE
12
J Hand Surg (Am) | 1996 | 17 |
A. Closed reduction + pinning (8 patients) B. Early ligamentous reconstruction (9 patients) |
A. Revision surgery for recurrent instability in 4 patients (50%) B. Normal grip strength and range of motion |
|
Kural C et al
11
Acta Orthop Traum Turc | 2002 | 1 | Closed reduction + cast | No pain or instability |
|
Khan AM et al
10
Am J Orthop | 2003 | 1 | Closed reduction + cast | Good functional result |
|
Bosmans et al. 1 J Hand Surg (Am) | 2008 | 2 | Closed reduction + cast | No instability-Normal range of motion |