KMID : 0361620050400071004
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Journal of the Korean Orthopaedic Association 2005 Volume.40 No. 7 p.1004 ~ p.1008
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Dislocation of the Carpometacarpal Joint of the Thumb in Ehlers-Danlos Syndrome - A Case Report -
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Cheon Sang-Jin
Cho Jae-Young Kang Jeong-Han Kim Hui-Taek Yoo Chong-Il
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Abstract
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A subluxation or dislocation of the carpometacarpal joint of the thumb is a rare injury, which usually occurs from trauma. There is a relative dearth of literature about the results of hand surgery for the treatment of Ehlers-Danlos syndrome. To the best of our knowledge, there has been no report on capsular ligament reconstruction in the hand using an autogenous tendon graft for the treatment of Ehlers-Danlos syndrome. We describe a case of atraumatic dislocation of the carpometacarpal joint of the thumb that had gradually progressed in a patient with Ehlers-Danlos syndrome; and which was treated with capsular ligament reconstruction by use of a portion of the flexor carpi radialis tendon. Six months after surgery, a trapeziometacarpal arthrodesis was performed secondarily, because of subluxation and pain in the carpometacarpal joint of the thumb, with a pinching motion.
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KEYWORD
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Ehlers-Danlos syndrome, Thumb carpometacarpal dislocation, Capsular ligament reconstruction, Arthrodesis
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