Proposal for a Radiological Classification System for Carpo-Metacarpal Joint Dislocations with or without Fractures
Journal Title: Malaysian Orthopaedic Journal - Year 2018, Vol 12, Issue 2
Abstract
Introduction: Though complex injuries like CarpoMetacarpal (CMC) Joint dislocations represent only 1% of all hand injuries, they have disabling impact on the functional status of patient. There are no reports in the literature classifying disabling complex injuries like CMC joint dislocations presumably because of low incidence. We propose a new classification through retrospective analysis of patients, along with literature search. Materials and Methods: A new classification system has been proposed and designed at our clinical unit and applied to eight patients with CMC joint dislocations. All patients were treated with open reduction with Kirschner wire fixation. At follow-up all these patients were analysed for radiographic assessments and functional scores. Results: The proposed classification identifies three types of dislocations and an additional complex category to supplement any basic type. The direction of dislocation describes the types as Type A: Dorsal, Type B: Volar and Type C: Divergent. Among the eight patients in our study, we had two of Type A, two Type B, three Type B.1, one Type C.1. These patients had average follow-up of 18 months. The quick DASH score improved from 75.76 at 6 weeks to 1.9 at 18 months. We also did intra-observer and inter-observer reliability which scored 1. Conclusion: Our proposal is a reproducible, simple, comprehensive and practical classification, easily remembered and communicated among colleagues. It is clinically relevant as it helps us in planning surgical management and prognostic evaluation.
Authors and Affiliations
Pundkare GT, Deshpande SS
Keywords
Related Articles
- EP ID EP360384
- DOI 10.5704/MOJ.1807.008
- Views 133
- Downloads 0
Early Surgical Treatment of Pectoralis Major Tendon Rupture: A Case Report
Pectoralis major rupture is a relatively uncommon injury. It is often under- or misdiagnosed due to late presentation and the lack of obvious clinical signs. Timely diagnosis and treatment is crucial, as early surgical r...
A Modified Technique of Fixation for Proximal Femoral Valgus Osteotomy in Abnormal Bone: A Report of Two Cases
The ideal size of intramedullary device to fix corrective osteotomy of proximal femur in abnormal bone in children and small patients may not be easily available. We report the successful use of Rush rod in combination w...
Infected Non-union of Tibia Treated with Ilizarov External Fixator: Our Experience
Introduction: Tibia is the most common long bone fractured due its vulnerable subcutaneous location and most often associated with acquired complications of delayed union or non-union due to infection. Amongst the variou...
Ultrasound Guided Nerve Root Injection in Patients with Cervical Spondylytic Radicular Pain
Selective cervical nerve root injection using a mixture of corticosteroid and lignocaine is a treatment option for managing cervical radiculopathic pain. The procedure is usually performed under image guided fluoroscopy...
Simple Technique for Removing Broken Pedicular Screws
The procedure for removing a broken pedicle screw should ideally be technically easy and minimally invasive, as any damage to the pedicle, during removal of the broken screw, may weaken the pedicle, thus compromising on...