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Atypical Bennett's fracture-dislocation

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Singapore Med J 2014; 55(11): e172-e174; http://dx.doi.org/10.11622/smedj.2014163
Atypical Bennett's fracture-dislocation

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Ong S, Sechachalam S
Correspondence: Dr Sreedharan Sechachalam, Sreedharan_sechachalam@ttsh.com.sg

ABSTRACT
We herein report an unusual case of a fracture-dislocation of the thumb metacarpal base. The injury consisted of features typical of Bennett’s fracture-dislocation of the thumb trapeziometacarpal joint, with additional rotation of the proximal fragment, signifying a greater ligamentous injury. Radiographic features of this injury are discussed together with its pathomechanics. Surgical management was undertaken due to the inherent instability of this injury.

Keywords: Bennett, fracture-dislocation
Singapore Med J 2014; 55(11): e172-e174; http://dx.doi.org/10.11622/smedj.2014163

http://smj.org.sg/sites/default/files/5511/5511cr1.pdf

REFERENCES

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PMid:8159947
 
2. Edmunds JO. Traumatic dislocations and instability of the trapeziometacarpal joint of the thumb. Hand Clin 2006; 22:365-92.
http://dx.doi.org/10.1016/j.hcl.2006.05.001
 
3. Carlsen BT, Moran SL. Thumb trauma: Bennett fractures, Rolando fractures, and ulnar collateral ligament injuries. J Hand Surg Am 2009; 34:945-52.
http://dx.doi.org/10.1016/j.jhsa.2009.03.017
 
4. Narushima Y, Hara A, Kusunose K. An unusual fracture-dislocation of the trapeziometacarpal joint of the thumb: a case report. Hand Surg 2010; 15:57-60.
http://dx.doi.org/10.1142/S0218810410004564
 
5. Strauch RJ, Behrman MJ, Rosenwasser MP. Acute dislocation of thecarpometacarpal joint of the thumb: an anatomic and cadaver study. J Hand Surg 1994; 19:93-8.
http://dx.doi.org/10.1016/0363-5023(94)90229-1
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