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Combined Fourth and Fifth Metacarpal Fracture and Fifth Carpometacarpal Joint DislocationFrom Bankstown District Hospital, Bankstown, Australia Correspondence: Yong Liaw, 21 Wilson Street, Maroubra, NSW 2035, Australia. Three cases of hamato-metacarpal fracture-dislocation with fracture of the shaft or base of the fourth metacarpal and dorsal dislocation of the fifth metacarpal are described. In one case this was associated with coronal fracture of the hamate. An oblique radiograph of the hand with the forearm pronated 15° and 45° provided a good view of the extent of the fourth and fifth carpometacarpal injury. Treatment with open reduction and internal fixation achieves good clinical results.
Journal of Hand Surgery (British and European Volume), Vol. 20, No. 2,
249-252 (1995) |
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