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

J Am Acad Orthop Surg. 2026 Jan 1;34(1):e20-e28. doi: 10.5435/JAAOS-D-25-00583. Epub 2025 Oct 3.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Carpometacarpal Joints* / anatomy & histology
  • Carpometacarpal Joints* / diagnostic imaging
  • Carpometacarpal Joints* / injuries
  • Carpometacarpal Joints* / surgery
  • Finger Injuries* / classification
  • Finger Injuries* / diagnosis
  • Finger Injuries* / diagnostic imaging
  • Finger Injuries* / surgery
  • Finger Injuries* / therapy
  • Fracture Dislocation* / classification
  • Fracture Dislocation* / diagnosis
  • Fracture Dislocation* / diagnostic imaging
  • Fracture Dislocation* / surgery
  • Fracture Dislocation* / therapy
  • Fractures, Bone*
  • Humans
  • Joint Dislocations* / classification
  • Joint Dislocations* / diagnosis
  • Joint Dislocations* / diagnostic imaging
  • Joint Dislocations* / surgery
  • Joint Dislocations* / therapy
  • Radiography