{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T22:50:28Z","timestamp":1771887028202,"version":"3.50.1"},"reference-count":17,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,19]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>A 56-year-old man, right-hand-dominant office worker, complained of pain and swelling at the base of his right thumb after using his hand to press onto the front passenger seat during an emergency brake. X-ray showed a dorsal dislocation of the first carpometacarpal joint of his right hand. Closed reduction of the joint was performed. As there were no clinical signs of instability post-reduction and X-ray confirmed that the joint was congruent, the joint was immobilised in a thumb spica splint for 6 weeks. His pain subsided and the range of motion of his first carpometacarpal joint was full at 9 weeks post-injury. Two years after the injury, he was asymptomatic and X-ray revealed normal joint anatomy with no obvious subluxation or osteoarthritic change. For patients with first carpometacarpal joint dislocations, non-operative management with splinting is a good option if the joint is stable post-reduction.<\/jats:p>","DOI":"10.1136\/bcr-2018-228715","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T05:15:47Z","timestamp":1554182147000},"page":"e228715","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Isolated first carpometacarpal joint dislocation managed with closed reduction and splinting"],"prefix":"10.1136","volume":"12","author":[{"given":"Amanda Mun Yee","family":"Slocum","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tun Hing","family":"Lui","sequence":"additional","affiliation":[{"name":"Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,31]]},"reference":[{"key":"2025082723333918000_12.3.e228715.1","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1080\/02844311.1993.12005647","article-title":"Fractures of the hand. 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