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 |