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

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

doi:2013.18.4.184

Arch Hand Microsurg > Volume 18(4); 2013 > Article

Case Report

Journal of the Korean Society for Surgery of the Hand 2013;18(4):184-188.
Published online December 30, 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. oscho5362@dsmc.or.kr

Received: 8 October 2013 • Revised: 2 November 2013 • Accepted: 12 November 2013

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.