Conservative Treatment of Complete Dislocation of the Thumb Metacarpal in a Hypermobile Patient

Abstract

Simultaneous dislocation of the thumb carpometacarpal and metacarpophalangeal joints is an uncommon injury. Stability is the most important<br /> factor in the decision of treatment in these rare injuries. The treatment methods range from closed reduction and maintaining reduction with<br /> cast or percutaneous k‑wires to complex reconstruction surgeries. In this paper, a case of 28-year-old female with complete dislocation of<br /> the left thumb metacarpal has been reported. She was treated with closed reduction and cast immobilization with excellent result. Treatment<br /> decision should be based on postreduction stability in complete dislocation of thumb metacarpal; cast immobilization is a management option<br /> in case of stable reduction.