PMC8046470_01
Injury radiographs. (a) Posteroanterior radiograph of the left hand demonstrating an ulnar and proximal deviation at the base of the fifth metacarpal with overlap of the hamate articular surface taken at the time of injury; (b) Oblique radiograph of the left hand demonstrating volar deviation at the base of the fifth metacarpal.
JOCR-11-108-g001.jpg
PMC8046470_01_JOCR-11-108-g001.jpg
F1
The patient had been evaluated at the time of injury in the emergency department and subsequently at an urgent care facility where the correct diagnosis remained unidentified despite obtaining the radiographic images shown in (Fig. 1a, 1b).
Intraoperative radiographs. Intraoperative posteroanterior radiograph demonstrating Kirschner wire fixation of the left fifth metacarpal following open reduction of the fifth carpometacarpal joint.
JOCR-11-108-g002.jpg
PMC8046470_01_JOCR-11-108-g002.jpg
F2
The reduction was confirmed and supported with an additional Kirschner wire driven retrograde through the CMC joint into the hamate (Fig. 2).
Post-operative radiographs. (a) Posteroanterior view of the left hand taken 6 months postoperatively; (b) lateral view of the left hand taken 6 months postoperatively demonstrate maintained reduction of the fifth carpometacarpal joint.
JOCR-11-108-g004.jpg
PMC8046470_01_JOCR-11-108-g004.jpg
F3
Radiographs and clinical photographs were taken at the patient's 6-month post-operative follow-up, as shown in (Fig. 3, 4), respectively.
Post-operative clinical photographs. (a) Clenched fist view; (b) dorsal finger extension view; (c) supinated clenched fist view taken 6 months status post left fifth metacarpal open reduction with Kirschner wire fixation. Images demonstrate full range of motion with a minor residual abduction of the small digit noted in the supinated clenched fist view.
JOCR-11-108-g005.jpg
PMC8046470_01_JOCR-11-108-g005.jpg
F4
Radiographs and clinical photographs were taken at the patient's 6-month post-operative follow-up, as shown in (Fig. 3, 4), respectively.