PMC5574274_01
Clinical picture and X-ray at the time of injury.
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fig1
He had gross swelling over the dorsum of the right hand with a degloving wound approximately 10 x 5 cm in size, muscle deep on the palmar aspect extending from the first to fourth web space (Figure 1). Radiograph of the right hand revealed dorsal and ulnarward CMC dislocation of second to fourth digits associated with a grade 2 compound fracture of the shaft of first metacarpal (Figure 1).
Intraoperative picture.
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fig2
Closed reduction and internal fixation of all three CMC joints and fracture of first metacarpal were done using Kirschner (K) wires under image intensifier control (Figure 2).
Clinical picture and X-ray at 2 weeks.
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fig3
After stabilization with K wires, osseous anatomy and CMC joint congruency were restored (Figure 3).
Clinical picture and X-ray at 3 months.
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At three months, the patient had a near full range of movement of the hand and wrist, showing good result (Figure 4).