Concluded Case

Closed k wiring

Dislocation at carpo metacarpel joint of 4th and 5 th Is their any treatment mobality except closed k wiring ?

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Concluded answer
just closed reduction and k wire fixation done under local as shown in answer section intra op x ray
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Carpometacarpal joint fracture dislocation of the second to fifth finger is a rare hand injury associated with high energy trauma. Due to severe swelling and overlapping of bones on the radiograph of wrist-hand, dislocations are missed. Open reduction and internal fixation. Followed by phsysitherepy exercise.
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Closed reduction immobilization can be done For better results, ORIF with K-wire, as ligament laxity is present
just closed reduction and k wire fixation done under local as shown in answer section intra op x ray
Plan sound okay Rule out old injury There is ulnar styloid non union Fresh injuries do well
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Close reduction open reduction possible
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Clossd k wire fixation under local
ORIF
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