The long fingers' paddlefish carpometacarpal (CMC) dislocation is exceptional. Most dislocations occur after high energy trauma. Untreated, these lesions can result in chronic instability of the CMC joints and early osteoarthritis. We report the case of a 20-year-old patient presenting with an ulnar paddlefish CMC fracture-dislocation of the three lesser fingers resulting from a hand trauma in ...

We report a rare case of simultaneous dorsal dislocation of 4 ulnar carpometacarpal joints and dorsoradial dislocation of the trapezium with an associated fracture of the scaphoid tuberosity. The injuries were diagnosed early and treated successfully with closed reduction and transfixation using Kirschner wires. The functional results were excellent at 17-month follow-up.

The mobility of the thumb carpometacarpal (CMC) joint is critical for functional grasping and manipulation tasks. We present an optimization technique for determining from surface marker measurements a subject-specific kinematic model of the in vivo CMC joint that is suitable for measuring mobility. Our anatomy-based cost metric scores a candidate joint model by the plausibility of the correspo...

Bending sensors enable compact, wearable designs when used for measuring hand configurations in data gloves. While existing data gloves can accurately measure angular displacement of the finger and distal thumb joints, accurate measurement of thumb carpometacarpal (CMC) joint movements remains challenging due to crosstalk between the multi-sensor outputs required to measure the degrees of freed...

The thumb carpometacarpal (CMC) joint is the most common site of surgical reconstruction for osteoarthritis in the upper extremity. In patients older than age 75 years, thumb CMC osteoarthritis has a radiographic prevalence of 25% in men and 40% in women. The thumb CMC joint obtains its stability primarily through ligamentous support. A diagnosis of thumb CMC arthritis is based on symptoms of l...

RATIONALE Isolated metastasis to the hand bones is very rare. Only seven cases of metastasis to the trapezium have been reported. To the best of our knowledge, this is the first report of a single metastasis to the trapezium from a gastric adenocarcinoma. PATIENT CONCERNS A 62-year-old man presented with pain and massive swelling in the right carpometacarpal joint of the thumb. DIAGNOSES Th...

Thumb carpometacarpal osteoarthritis (CMC OA) is a common disease, affecting up to 11% and 33% of men and women in their 50s and 60s, respectively, which leads to pain, laxity and weakness of the CMC joint. Based on the staging of the CMC OA, different forms of treatment can be used, including both conservative and surgical measures. Surgical options include osteotomy, trapezial excision, ligam...

INTRODUCTION Thumb carpometacarpal osteoarthritis is a common and disabling disorder that affects 15% of adults over the age of 30, and 66% of women over the age of 55.1 Thumb use is affected by pain, weakness and loss of dexterity, leading to significant impairment (40%-50%)2 of the upper extremity due to its central role in nearly all grasp and handling maneuvers. Since Kellgren and Lawrence’...