Trapeziometacarpal dislocations in pediatric age, is there a better treatment? Series of cases and a systematic review
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- dc.contributor.author Martin Diaz, Pablo
- dc.contributor.author Perez-Lopez, Laura M.
- dc.contributor.author Gutiérrez-de la Iglesia, Diego
- dc.contributor.author Mirón Domínguez, Beatriz
- dc.contributor.author Domínguez, Enric
- dc.contributor.author Pérez-Abad, Miguel
- dc.date.accessioned 2025-06-27T06:47:12Z
- dc.date.available 2025-06-27T06:47:12Z
- dc.date.issued 2024
- dc.description.abstract (1) Background: Dislocations of the trapeziometacarpal joint (TMC) are uncommon in children and adolescents. Only a few isolated cases are reported in the literature. Therapeutic guidance is minimal and inconclusive. (2) Methods: The authors present four patients treated for this unusual lesion. We evaluated the evolution according to treatment, age, patient activity, and quickDASH. Despite the clear limitation of the small number of patients, it is relevant to try to better understand this lesion and its evolution. A systematic review of the literature was also conducted. (3) Results: This is the largest published series of TMC dislocations in children and adolescents. Patients included a 12-year-old girl treated conservatively with a poor quickDASH; a 9-year-old girl treated surgically with the Eaton-Littler technique for a new dislocation with a partially modified quickDASH; a 13-year-old boy with two necessary closed reductions for a new dislocation and a very good final quickDASH; and a 12-year-old boy treated with closed reduction and percutaneous fixation with excellent final results with quickDASH. (4) Conclusions: In the absence of scientific evidence, conservative treatment and ligament reconstruction did not provide good functionality. In contrast, closed reduction with percutaneous fixation provided excellent results. Therefore, the authors would recommend closed reduction and percutaneous needle fixation as an elective method to treat TMC dislocations in pediatric and adolescent patients.
- dc.format.mimetype application/pdf
- dc.identifier.citation Martin-Diaz P, Perez-Lopez LM, Gutierrez-de la Iglesia D, Miron-Dominguez B, Domínguez E, Perez-Abad M. Trapeziometacarpal dislocations in pediatric age, is there a better treatment? Series of cases and a systematic review. J Clin Med. 2024 Apr 11;13(8):2197. DOI: 10.3390/jcm13082197
- dc.identifier.doi http://dx.doi.org/10.3390/jcm13082197
- dc.identifier.issn 2077-0383
- dc.identifier.uri http://hdl.handle.net/10230/70772
- dc.language.iso eng
- dc.publisher MDPI
- dc.relation.ispartof J Clin Med. 2024 Apr 11;13(8):2197
- dc.rights © 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Adolescent
- dc.subject.keyword Carpometacarpal joints
- dc.subject.keyword Cast
- dc.subject.keyword Child
- dc.subject.keyword Closed fracture reduction
- dc.subject.keyword Joint dislocations
- dc.subject.keyword Recurrence
- dc.subject.keyword Surgery
- dc.subject.keyword Surgical
- dc.subject.keyword Thumb
- dc.subject.keyword Trapezoid bone
- dc.title Trapeziometacarpal dislocations in pediatric age, is there a better treatment? Series of cases and a systematic review
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion