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MEDISAN
On-line version ISSN 1029-3019
Abstract
VILLALOBOS PEDROSO, Humberto et al. Carpometacarpal dislocation. MEDISAN [online]. 2009, vol.13, n.2. ISSN 1029-3019.
The clinical case of a 18 year-old patient is reported, who went to the outpatient department after 30 days of suffering a trauma in the right hand and he was diagnosed with carpometacarpal dislocation of ray 5. The treatment was initiated with the implant of an external mini-fixer HVP to transport the bone to its anatomical position. It was started from the first day with a daily millimeter, 15 days later the metacarpal base was placed in its normal anatomical position, and the apparatus was left for 3 more weeks. The patient was able to recover mobility and the finger normal function after a period of physyotherapeutic treatment. It was demonstrated that this method can be used in emergency and non recent cases, because it eliminates the immobilization with plaster and facilitates movements.
Keywords : DISLOCATIONS; CARPOMETACARPAL JOINTS; EXTERNAL FIXATORS; REHABILITATION; PHYSICAL THERAPY MODALITIES.