The Journal of Trauma: Injury, Infection, and Critical Care · 1976 · 67 citations · 0 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryElbow SurgeryOrthopedicsPeripheral Nerve SurgeryElbow FracturesHand InjuriesJoint SurgeryTendon InjuriesWrist DisordersWrist InjuriesCarpal DislocationCarpal Tunnel Syndrome TherapyDislocationsFinger FracturesKirschner Wire FixationThumb Carpometacarpal DislocationWrist DislocationWrist Fracture Dislocations
Volar fracture dislocation of the second and third metacarpal bases associated with acute carpal tunnel syndrome in a 17-year-old football player were treated with open reduction, via volar incision to decompress the carpal tunnel, and via a second dorsal incision for internal fixation of the fracture dislocations with Kirschner wire fixation and reinsertion of the avulsed extensor carpi radialis:longus tendon. Anatomic reduction by closed or open reduction is recommended to avoid leaving patients with a weak grip and pain over the site of the fracture.