DOUBLE DISLOCATION OF THE 5TH METACARPAL

A case of post-traumatic double. dislocation of the fifth metacarpal i s reported. No reference has been found in the literature. Both were d orsal dislocations, mechanism appears as an axial compression on the m etacarpal distal extremity, as first phalanx is hyper-extended. Only t he carpo-metacarpal-joint was reduced by close technic with percutaneo us fixation; the metacarpo-phalangeal dislocation required surgery usi ng a palmar approach. Normal function of the joint was recovered three months later.