Simultaneous quadruple dislocations of the hand in a motorcyclist: A case report

Abstract

Herein we present a case of four simultaneous dislocations of the hand resulting from a motorcycle accident in a young man. In this case, the 1st CMC, MCP, and IP joints of the right hand were dislocated along with right perilunate dislocation. Perilunate dislocation was treated with open reduction and internal fixation. Close reduction of IP and CMC was done and CMC was fixed by pins. MCP dislocation was treated by open reduction and pinning in addition to collateral ligament and capsular repair. In follow-up excellent functional activity and range of motion were observed.

Keywords

• Dislocation
• Carpometacarpal
• Metacarpophalangeal
• Lunate
• Thumb
• Perilunate dislocation