A 45 year-old male presents with right thumb pain and deformity after falling off his bicycle. You obtain hand x-rays and see the following images. What is the most likely diagnosis, differential diagnosis, and management plan?
For more cases like these, check out the SplintER archives.
- Kraus CK, Weaver KR. Traumatic Dislocation of the First Carpometacarpal Joint. Am J Emerg Med. 2014;32(12):1561. PMID: 24993682
- Lahiji F, Zandi R, Maleki A. First Carpometacarpal Joint Dislocation and Review of Literatures. The Archives of Bone and Joint Surgery. 2015;3(4):300-303. PMID: 26550598
- Atkinson R. Hand. DeLee & Drez’s Orthopaedic Sports Medicine: Principles and Practice. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2009: 1386-1398.
- Fotiadis E, Svarnas T, Lyrtzis C, Papadopoulos A, Akritopoulos P, Chalidis B. Isolated Thumb Carpometacarpal Joint Dislocation: A Case Report and Review of the Literature. J Orthop Surg Res. 2010;5(16):1-5. PMID: 20219137
- Mailhot T, Lyn ET. Hand. Rosen’s Emergency Medicine Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014: 555-556.
- Horn AE, Ufberg JW. Management of Common Dislocations. Roberts & Hedges’ Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014: 981-984.
- Raukar NP, Raukar GJ, Savitt DL. Extremity Trauma. The Atlas of Emergency Medicine. 4th ed. New York, NY: McGraw-Hill; 2016: 298-300.
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