Isolated Second and Third Carpometacarpal Joint Injuries: A Report of 2 Cases.

Autor: Spratt JD; Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia., Stults P; Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia., Hanson ZC; Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia., Lourie GM; Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia.; The Hand & Upper Extremity Center of Georgia, Atlanta, Georgia.
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2023 Jul 31; Vol. 13 (3). Date of Electronic Publication: 2023 Jul 31 (Print Publication: 2023).
DOI: 10.2106/JBJS.CC.22.00541
Abstrakt: Cases: Two high-level male athletes with isolated second and third carpometacarpal (2, 3 CMC) joint injuries presented with mid-dorsal wrist pain, decreased grip strength, and painful wrist motion. Both reported inciting trauma-1 acutely and the other months after the original injury. Both exhibited 2, 3 CMC joint tenderness and positive provocative testing on exam. Advanced imaging confirmed 2, 3 CMC joint injuries. Both patients returned to preinjury level of play 3 months after diagnosis and surgical treatment.
Conclusion: 2, 3 CMC joint injuries should be considered when evaluating radial/mid-dorsal wrist pain. Surgical treatments range from pin stabilization to fusion depending on chronicity and associated degenerative joint changes.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C157).
(Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze: MEDLINE