Correspondence Address : Dr. Simultaneous dislocation of the thumb carpometacarpal and metacarpophalangeal joints is an uncommon injury. Stability is the most important factor in the decision of treatment in these rare injuries. The treatment methods range from closed reduction and maintaining reduction with cast or percutaneous k-wires to complex reconstruction surgeries. In this paper, a case of year-old female with complete dislocation of the left thumb metacarpal has been reported. She was treated with closed reduction and cast immobilization with excellent result.
A sprained thumb occurs when the ligaments that support the thumb stretch beyond their limits or tear. This usually happens when a strong force bends the thumb backwards, away from the palm of the hand. The most common way for this to occur is by falling onto an outstretched hand. A tear to this ligament can be painful and may make your thumb feel unstable.
Boxing has historically been primarily associated with head injuries, particularly concussion. More recently, it has become clear that hand injuries may be as common, if not even more common. Indeed, injury surveillance reporting by the British Amateur Boxing Association suggests that the incidence of hand injury does exceed that of head injury 1.
Metacarpal fractures are common. The lifetime incidence of a metacarpal fracture is 2. They are a result of direct or indirect trauma with the nature and direction of the force being directly related to the type of injury.