Carpometacarpal Dislocation of the Third to Fifth Fingers and an Associated Fracture of the Hamate in a Military Paratrooper

Abstract EN

Multiple carpometacarpal dislocations with a simultaneous fracture of the hamate represent less than 1% of all injuries to the hand and wrist regions, with a scarcity of published cases.

These injuries usually require a great force, and diagnosis can be missed or delayed because of the high likelihood of other severe concomitant injuries.

We report a case of acute closed dislocation of the third through fifth carpometacarpal joints and an associated fracture of the hamate in a military paratrooper.

The injury was caused by a wrong landing technique during parachuting.

The patient was managed with primary surgical repair, and after a six-month follow-up, he has excellent functional results.

The fact that both this clinical entity and the mechanism of injury are very unusual a high index of suspicion is needed, especially for orthopedic surgeons working in military hospitals.

Additionally, given that there is a paucity of published cases and optional treatment is controversial, this study corroborates the superiority of surgical repair in a long-term basis.