Bridge Plating of Second and Third Carpometacarpal Fracture Dislocations: A Case Report of Rare Injury.

INTRODUCTION

Fracture dislocations of the second and third carpometacarpal (CMC) joints are a rare injury, often associated with high-energy trauma that can lead to significantly compromised hand function if missed.

CASE REPORT: A 23-year-old female presented with a subacute right second and third CMC fracture dislocations after a rollover ATV accident. Open reduction and fixation of the second and third CMC fracture dislocations with a bridge plating construct was performed. At 12 weeks postoperatively, there were no complaints of pain. Hardware was removed at 5 months postoperatively. One year postoperatively, the patient had no significant stiffness, pain, or functional deficits.

CONCLUSION

Despite the subacute presentation and concern for devitalized bone, repair of the second and third CMC base fracture dislocations with bridge plating is a safe option for the CMC joints without fusion with good results.