EC Orthopaedics

Dorsal carpometacarpal dislocations of the long fingers, particularly divergent dislocations, are extremely rare injuries. We present a case of a 25-year-old athlete who sustained a divergent carpometacarpal fracture-dislocation in the last four fingers during a kick-boxing competition. Diagnosis can be challenging, necessitating thorough radiographic evaluation. Prompt reduction and stabilization using oblique, intramedullary, or cross-pinning techniques are recommended. Complications may include persistent pain, decreased grip strength, and secondary displacements. Early recognition and appropriate management are crucial for optimizing outcomes in these rare injuries.

Keywords: Carpometacarpal Dislocation; Fracture-Dislocation; Divergent Dislocation; Fracture

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