{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:27Z","timestamp":1787755587343,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 23-year-old man presented with a 2-month-old injury involving a volar base metacarpal fracture dislocation of carpometacarpal joint (CMC), metacarpophalangeal joint (MP) dislocation, floating metacarpal, and proximal phalanx base fracture. Treatment involved open reduction of volar base metacarpal\u2019s fracture and CMC dislocation, MP joint reduction, collateral ligament repair, and proximal phalanx fixation with plates and screws. A modified Eaton-Littler procedure with flexor carpi radialis tendon enhanced CMC joint stability. At 6 weeks, fractures had healed well, achieving good thumb motion. One-year follow-up showed no arthritis or dislocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Thumb injuries are relatively common and can involve complex fractures and dislocations. Open reduction of the delayed fractures, dislocations, and ligament repair and reconstruction can lead to successful outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00260","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T04:01:15Z","timestamp":1727150475000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Management of a Delayed Presentation of Floating First Metacarpal with Multiple Fracture Dislocations"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3321-9255","authenticated-orcid":false,"given":"J. Terrence","family":"Jose Jerome","sequence":"first","affiliation":[{"name":"Olympia Hospital & Research Centre, Trichy, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7]]},"reference":[{"issue":"1","key":"bib1-20240924","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s12593-012-0067-x","article-title":"Modified Eaton-Littler's reconstruction for traumatic dislocation of the carpometacarpal joint of the thumb-A case report and review of literature","volume":"5","author":"Iyengar","year":"2013","journal-title":"J Hand Microsurg."},{"issue":"8","key":"bib2-20240924","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/S0929-6646(09)60167-4","article-title":"Simultaneous dislocation of the carpometacarpal and metacarpophalangeal joints of the thumb in a motorcyclist","volume":"105","author":"Shih","year":"2006","journal-title":"J Formos Med Assoc."},{"issue":"6","key":"bib3-20240924","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1136\/bjsm.34.6.463","article-title":"Simultaneous Bennett's fracture and metacarpophalangeal dislocation of the same thumb in a soccer player","volume":"34","author":"Jari","year":"2000","journal-title":"Br J Sports Med."},{"issue":"3","key":"bib4-20240924","first-page":"221","article-title":"Concurrent dislocations of carpometacarpal and metacarpophalangeal joints of the thumb","volume":"8","author":"Afshar","year":"2005","journal-title":"Arch Iranian Med."},{"issue":"1","key":"bib5-20240924","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3109\/23320885.2014.965254","article-title":"Volar dislocation of the thumb metacarpophalangeal joint with acute repair of the ulnar collateral ligament","volume":"1","author":"Potini","year":"2014","journal-title":"Case Rep Plast Surg Hand Surg."},{"issue":"2","key":"bib6-20240924","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s00402-010-1122-3","article-title":"Surgical reconstruction using suture anchor for dislocation of the carpometacarpal joint of the thumb: a case report","volume":"131","author":"Okita","year":"2011","journal-title":"Arch Orthop Trauma Surg."},{"issue":"5","key":"bib7-20240924","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/S0363-5023(96)80195-X","article-title":"Traumatic dislocation of the thumb carpometacarpal joint: early ligamentous reconstruction versus closed reduction and pinning","volume":"21","author":"Simonian","year":"1996","journal-title":"J Hand Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00260","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:32Z","timestamp":1787751872000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00260"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00260","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]}}}