Fourth and Fifth Metacarpal Base Arthrodesis for Posttraumatic Arthritis of Fifth Carpometacarpal Joint

Chul-Hyung Kang; Eun-Sok Son; Chul-Hyun Cho

doi:10.12790/jkssh.2013.18.4.184

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

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Kang, Son, and Cho: Fourth and Fifth Metacarpal Base Arthrodesis for Posttraumatic Arthritis of Fifth Carpometacarpal Joint

Case Report

J Korean Soc Surg Hand 2013;18(4):184-188.

Published online: 12 December 2013

DOI: https://doi.org/10.12790/jkssh.2013.18.4.184

Fourth and Fifth Metacarpal Base Arthrodesis for Posttraumatic Arthritis of Fifth Carpometacarpal Joint

Chul-Hyung Kang, Eun-Sok Son, 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 E-mail: oscho5362@dsmc.or.kr

Received 8 October 20132 November 2013 Accepted 12 November 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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

REFERENCES

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Fig. 1.

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

Fig. 2.

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

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