Carp-Metacarpal Dorsal Partial Spatula Dislocation: About One Case

Carp-metacarpals dislocations are rare traumatic lesions following high-energy trauma and are most commonly observed in young people. If untreated causes joint degeneration and instability, is usually unstable and treated by variable methods, open or closed. The spatula form is often accompanied by fractures of the metacarpals. We report the case of a case of dorsal carp metacarpal partial spatula dislocation. This is a 24-year-old patient, admitted for blunt trauma to the right hand, the clinical examination noted hand edema. Radiological assessment showed partial dorsal carp metacarpals spatula dislocation associated with a fracture of the base of the 5th metacarpal. The patient underwent closed manual reduction and transverse inter metacarpals pinning with two pins. Rehabilitation was started at the 3rd week, pin removal at 45 days. The clinical, radiological and functional results at 3 months were satisfactory with good muscle strength, return to work at 12 weeks. Rare lesions, often unrecognized, especially in polytraumatized patients, metacarpal dislocations have a good functional prognosis if they are treated appropriately and early.