Acute Traumatic Isolated Subluxation of Trapeziometacarpal Joint: Case Report-Literature Review

Kastanis G; Pantouvaki A; Trachanatzi E; Stavrakakis I; Chaniotakis C; Siligardou M. K.; Kapsetakis P.

doi:10.23958/ijirms/vol07-i09/1510

Open Access Publication ISSN: 2455-8737 |

Total : PDF: 336 | Total views: 336

Case Report | Open Access

Vol. 7 No. 10 (2022) | Page No.: 528 - 533 | https://doi.org/10.23958/ijirms/vol07-i09/1510

Acute Traumatic Isolated Subluxation of Trapeziometacarpal Joint: Case Report-Literature Review

Kastanis G⁺⁻
Pantouvaki A⁺⁻
Trachanatzi E⁺⁻
Stavrakakis I⁺⁻
Chaniotakis C⁺⁻
Siligardou M. K.⁺⁻
Kapsetakis P.⁺⁻

Reconstructive Hand Surgery Unit, General Hospital of Heraklion -Venizeleio, Crete, Greece; Department of Orthopaedic, General Hospital of Heraklion -Venizeleio, Crete, Greece

Reconstructive Hand Surgery Unit, General Hospital of Heraklion -Venizeleio, Crete, Greece; Department of Physiotherapy, General Hospital of Heraklion -Venizeleio, Crete, Greece

Emergency Department, University Hospital of Heraklion, Crete, Greece

Department of Orthopaedic, General Hospital of Heraklion -Venizeleio, Crete, Greece

Google Scholar

Published: 2022-10-05

Abstract

Trapeziometacarpal joint (TMCJ) of the thumb is an unstable joint anatomically and depends on the integrity and normal functionality of the ligaments to prevent dislocation. Dislocation or subluxation of trapezio-metacarpal joint generally appears more often as injuries accompanied with intraarticular fracture of base of first metacarpal or trapezium. Isolated dorsolateral subluxation of trapeziometacarpal joint appears more often with osteoarthritis of the joint rather than as traumatic lesion and is an unstable injury because ligaments of the joint present some degree of impairment. Suspicions to diagnose the injury and precocious therapeutic management avoid complications which lead to impairment of hand function quality. Therapeutic procedures for TMCJ dislocation is controversial in literature. The aim of this study is to present a case of a 28 year-old man, who after a direct impact with a heavy object (hummer) over the base of the thumb, presented in the emergency department with an anterolateral subluxation of trapeziometacarpal joint and based on this case, to recall the modalities of the adequate treatment of the respective injury in literature.

Keywords: Trapeziometacarpal joint, traumatic subluxation, traumatic dislocation, stability, pinning, ligament reconstruction, Greece

Most read articles by the same author(s)

Kastanis G, Pantouvaki A, Kapsetakis P, Stavrakakis I, Siligardou MK, Bitados P, Georgali E, Andriopoulos C, Manolaraki M, Wide Awake Local Anesthesia No Tourniquet (WALANT) Versus Bier’s Block, in Internal Fixation of Unstable Metacarpal and Phalangeal Fractures of the Hand: A Comparative Study , International Journal of Innovative Research in Medical Science: Vol. 8 No. 03 (2023)
Kastanis G, Kapsetakis P, Chaniotakis C, Stavrakakis I, Pantouvaki A, Extensor Pollicis Brevis Transfer to Extensor Pollicis Longus for Delay Spontaneous Ruptures: A Case Series and Functional Outcomes at One Year Follow Up , International Journal of Innovative Research in Medical Science: Vol. 7 No. 03 (2022)
Kastanis G., Trachanatzi E., Kapsetakis P., Lazanaki E., Chaniotakis C., Stavrakakis I., Pantouvaki A., Is Anatomic Variation of Superficial Peroneal Nerve Having Medical Implication in Internal Fixation of Lateral Malleolus Fractures? A Case Report , International Journal of Innovative Research in Medical Science: Vol. 7 No. 07 (2022)
Kastanis G, Spyrantis M., Magarakis G., Kapsetakis P., Pantouvaki A., Simultaneous Fractures of Proximal and Distal End of Radius. An Unusual Pattern of Complex Injuries and Clinical Review , International Journal of Innovative Research in Medical Science: Vol. 4 No. 09 (2019)
Kastanis G, Pantouvaki A, Magarakis G, Chaniotakis C, Christoforidis C, Kapsetakis P, Simultaneous Distal Radius Fracture with Acute Radial Artery Injury: Is it a Unique Complex Injury or a Misdiagnosis Lesion? , International Journal of Innovative Research in Medical Science: Vol. 6 No. 02 (2021)
Kastanis G, Pantouvaki A, Kapsetakis P, Spyrantis M, Magarakis G, Christoforidis C, Stavrakakis I, Volar Locking Plate for Distal Radius Fractures: Functional Outcomes and Complication Rates with a Minimum of One Year Follow-Up , International Journal of Innovative Research in Medical Science: Vol. 6 No. 05 (2021)
Kastanis G, Kapsetakis P, Magarakis G, Bachlitzanaki M, Christoforidis C, Kazamias G, Pantouvaki A, Solitary Schwannoma on the Hypothenar Region of the Hand: A Literature Review , International Journal of Innovative Research in Medical Science: Vol. 5 No. 10 (2020)
Kastanis G, Bachlitzanaki M, Kapsetakis P, Christoforidis C, Chaniotakis C, Pantouvaki A, Giant Cell Tumor on Tendon Sheath of the Hand: The Incidence of Recurrence, Functional Outcomes and a Literature Review , International Journal of Innovative Research in Medical Science: Vol. 5 No. 12 (2020)
Kastanis G, Kapsetakis P, Trachanatzi E, Chaniotakis C, Siligardou M. K., Andriopoulos C, Pantouvaki A, Wide -Awake Local Anesthesia No Tourniquet (WALANT) Procedure for Primary Repair of Traumatic Rupture of Flexor Tendon of the Hand: A Single Center Experience , International Journal of Innovative Research in Medical Science: Vol. 7 No. 12 (2022)

Downloads

How to Cite

G, K., A, P., E, T., I, S., C, C., M. K., S., & P., K. (2022). Acute Traumatic Isolated Subluxation of Trapeziometacarpal Joint: Case Report-Literature Review. International Journal of Innovative Research in Medical Science, 7(10), 528–533. https://doi.org/10.23958/ijirms/vol07-i09/1510

Copyrights & License

Copyright © 2022 Kastanis G Pantouvaki A Trachanatzi E Stavrakakis I Chaniotakis C Siligardou M. K. Kapsetakis P. this is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

This work is licensed under a Creative Commons Attribution 4.0 International License.