Carpometacarpal Joint Dislocations and Fracture Dislocations of the Index Through Small Digits.

J Am Acad Orthop Surg · Jan 01 2026 · Review

Gallant GG, Rivlin M, Tosti RJ, Beredjiklian PK

From the Rothman Orthopaedics, Thomas Jefferson University Hospital, Philadelphia, PA

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis review covers the anatomy, mechanism, classification, evaluation, and treatment options for carpometacarpal joint dislocations and fracture-dislocations of the index through small fingers, including the authors' preferred approach.
Abstract, as published

Index through small carpometacarpal joint dislocations and fracture dislocations are injuries that require early recognition to prevent future pain and dysfunction. This review article discusses the anatomy, mechanism of injury, classification, clinical examination, radiographic evaluation, and treatment options for these particular injuries. The goal of this review article is to provide the best treatment options for general orthopaedic surgeons and hand surgeons in the care of these injuries. The authors preferred method of treatment is also discussed.

Featured in the 2026-09-01 issue.

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