Modified Eaton-Littler’s Reconstruction for Traumatic Dislocation of the Carpometacarpal Joint of the Thumb—A Case Report and Review of Literature

Karthikeyan Iyengar; Surya Gandham; Jayant Nadkarni; William Loh

doi:10.1007/s12593-012-0067-x

Journal of Hand and Microsurgery, Table of Contents

J Hand Microsurg 2013; 05(01): 36-42
DOI: 10.1007/s12593-012-0067-x

Case Report

Thieme Medical and Scientific Publishers Private Ltd.

Modified Eaton-Littler’s Reconstruction for Traumatic Dislocation of the Carpometacarpal Joint of the Thumb—A Case Report and Review of Literature

Authors

Karthikeyan Iyengar
Surya Gandham
Jayant Nadkarni
William Loh

Subject Editor:

Abstract

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Abstract

Isolated traumatic dislocation of the carpometacarpal joint of the thumb is an uncommon injury. Left untreated, resulting mechanical instability of this joint interferes with normal function of the hand and can lead to articular degeneration of the joint. Most are amenable to closed reduction with or without supplementary pinning. We present a case of a 21 year old female patient with continual instability of the carpometacarpal joint of her right thumb, following closed reduction and pinning. Surgical stabilization was achieved by anterior oblique ligament reconstruction using a Modified Eaton- Littler’s technique. At 1 year follow-up evaluation the patient was pain free with no clinico-radiological evidence of instability.

Keywords

Carpometacarpal joint - Dislocation - Thumb - Anterior oblique ligament - Ligament reconstruction

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References

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