The Journal of Bone and Joint Surgery, Vol 73, Issue 1 52-59, Copyright © 1991 by Journal of Bone and Joint Surgery, Inc
Carpometacarpal dislocations. Long-term follow-up
JF Lawlis and SF Gunther
Department of Orthopaedic Surgery, Washington Hospital Center, D.C. 20010.
Twenty patients who had a dislocation of one or all of the medial four
carpometacarpal joints were followed for an average of 6.5 years (range,
1.5 to 20.5 years). Fifteen patients were treated with open reduction and
internal fixation during the first three weeks after injury and the
long-term result was excellent in thirteen of them. Three of the four
unsatisfactory results were in patients who had injuries to the normally
rigid second and third carpometacarpal joints or had a concomitant
ulnar-nerve injury.