we present two patients with a displaced fracture of the small finger metacarpal base, where the shaft of the small finger metacarpal was wedged between the bases of the ring and small finger metacarpals. the striking appearance on radiographs led to initial recommendations for surgery, but both patients preferred non-operative treatment and did well in the short term without surgery

We present two patients with a displaced fracture of the small finger metacarpal base, where the shaft of the small finger metacarpal was wedged between the bases of the ring and small finger metacarpals. The striking appearance on radiographs led to initial recommendations for surgery, but both patients preferred non-operative treatment and did well in the short term without surgery

Metacarpal (MCP) base fractures are less commonly encountered than diaphyseal or metacarpal neck fractures. These are difficult injuries to diagnose and are challenging to treat. Neglect of these injuries, either by missed diagnosis or by inadequate treatment, causes significant disability due a poorly functioning carpo-metacarpal joint. There have been several developments in the management of...

Most stress fractures occur in the lower limbs and are rarely observed in the upper limbs. The second metacarpal is the longest of all the metacarpals and has the largest base, articulating with the trapezium, trapezoid, capitate, and third metacarpal. In athletes, stress fractures in non-weight bearing joints are uncommon. Therefore, the shaft of the second metacarpal bone undergoes a higher l...

Carpo-metacarpal dislocations are rare traumatic injuries resulting from violent trauma; they mostly observed in young subjects. The spatular form is often accompanied by metacarpal fractures. We report a clinical case of complete dorsal carpo-metacarpal dislocation. This was 34-year-old patient, admitted for closed trauma the right hand, whom examination noted edema hand. radiological workup s...

We present two patients with a displaced fracture of the small finger metacarpal base, where the shaft of the small finger metacarpal was wedged between the bases of the ring and small finger metacarpals. The striking appearance on radiographs led to initial recommendations for surgery, but both patients preferred non-operative treatment and did well in the short term without surgery.

A 45-year-old woman presented to the emergency department with left wrist pain following a fall. Physical exam was remarkable for soft tissue swelling of the palmar and dorsal hand, point tenderness at the base of the second metacarpal, and limited active range of motion. Three-view wrist radiographs showed significant soft tissue swelling without evidence of fracture or dislocation. Computed t...

The extensor carpi radialis longus (ECRL) muscle originates from the distal third of the lateral supracondylar ridge of the humerus, front of lateral intermuscular septum and from the lateral epicondyle of humerus. The tendon of ECRL along with extensor carpi radialis brevis (ECRB) passes through the second compartment of extensor retinaculum and inserts into the base of second metacarpal bone ...

The post-traumatic dislocation of the fifth-finger is a rare lesion. In the absence of treatment, this lesion results in joint degeneration and instability. This lesion is usually unstable, treated by open, Closed. We report the case of a carpal-metacarpal dislocation isolated palmar pure in a boxer, clinically the patient presented a disturbance of rotation of 15° with a shortening of 5 mm. Th...

○ Approach with care, especially with the branch of the dorsal sensory radial nerve, which is very close to the space between Abductor PollicisLongus and Extensor PollicisBrevis. ○ Freeing the base of the metacarpal is very importantin order to obtain a good view of the distal surface of the trapezium, because after an adequate resection of the base of the metacarpal and of the palmar beak it’s...