Journal List > J Korean Soc Surg Hand > v.18(4) > 1106443

J Korean Soc Surg Hand. 2013 Dec;18(4):184-188. Korean.
Published online December 27, 2013.
Copyright © 2013. The Korean Society for Surgery of the Hand
Fourth and Fifth Metacarpal Base Arthrodesis for Posttraumatic Arthritis of Fifth Carpometacarpal Joint
Chul-Hyung Kang, Eun-Sok Son and Chul-Hyun Cho
Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea.

Correspondence to: Chul-Hyun Cho. Department of Orthopedic Surgery, Keimyung University School of Medicine, 56 Dalseong-ro, Jung-gu, Daegu 700-712, Korea. TEL: +82-53-250-7729, FAX: +82-53-250-7205, Email:
Received October 08, 2013; Revised November 02, 2013; Accepted November 12, 2013.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Posttraumatic arthritis of the fifth carpometacarpal joint occurs as a sequelae of intraarticular comminuted fracture or missed and untreated fracture. If it is inappropriately managed, persistent pain and functional disability of the hand can occur. Arthrodesis, resection arthroplasty, or interposition arthroplasty has been reported as the treatment for the arthritis. However, outcome studies for operative treatment of the fifth carpometacarpal arthritis have been rarely reported. We report a case of the fifth carpometacarpal arthritis occurred after missed fracture, which was successfully treated with fourth, fifth metacarpal base arthrodesis.

Keywords: Carpometacarpal joint; Fracture; Arthritis; Arthrodesis


Fig. 1
Anteroposterior plain radiograph (A) and computed tomography images (B, C) show post-traumatic arthritis by a missed hamatometacarpal fracture with impaction.
Click for larger image

Fig. 2
Anteroposterior plain radiographs after operation (A) and at postoperative 18 months show the fourth, fifth metacarpal arthrodesis with resection arthroplasty.
Click for larger image

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