{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T13:49:53Z","timestamp":1774360193628,"version":"3.50.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate the mid-term results of patients with surgically treated 4th and 5th carpometacarpal (CMC) fracture dislocation.\n\nMethods: The study included 9 CMC dislocation patients (9 males; mean age: 31.2 years, range: 20 to 40 years) treated with open reduction and internal fixation between 2008 and 2012. Mean follow-up period was 19.4 months. Mean interval between trauma and operation was 10.7 (range: 3 to 35) days. Radiological evaluation was performed at the final follow-up. Hand grip power was measured using a hand dynamometer and the injured and uninjured sides were compared.\n\nMethods: There was a statistically significant difference compared to the injured side in hand dynamometer measurements (p&lt;0.05). Three patients experienced pain during heavy labor. Among these cases, 2 had delayed diagnosis and 1 a comminuted CMC dislocation and was unable to return to his previous job. There were no recurrent dislocations or revision surgery due to complications.\n\nConclusion: Early diagnosis and treatment of 4th and 5th CMC dislocation results in good anatomical and functional results. Delayed or incorrect diagnosis of this region causes severe radiological and functional problems. Detailed physical and radiological examination can prevent CMC dislocation from being overlooked.\n\n \n\n\u00d6zet\n\n \n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131zda elde 4. ve 5. karpometakarpal (KMK) k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131k tan\u0131s\u0131 konularak cerrahi tedavi uygulanan olgular\u0131n orta d\u00f6nem sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmeyi ama\u00e7lad\u0131k.\n\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya 2008 ile 2012 y\u0131llar\u0131 aras\u0131nda KMK \u00e7\u0131k\u0131k tan\u0131s\u0131 ile a\u00e7\u0131k red\u00fcksiyon ve internal tespit uygulanan 9 olgu al\u0131nd\u0131. Ortalama ya\u015f\u0131 31.2 (da\u011f\u0131l\u0131m: 20-40) olan olgular\u0131n t\u00fcm\u00fc erkek idi. Ortalama 19.4 ay izlenen olgular\u0131m\u0131zda travma ile ameliyat aras\u0131ndaki s\u00fcrenin ortalama 10.7 (da\u011f\u0131l\u0131m: 3-35) g\u00fcn oldu\u011fu saptand\u0131. Hastalar\u0131n son kontrollerinde radyolojik de\u011ferlendirmeleri yap\u0131ld\u0131. El kavrama g\u00fcc\u00fc el dinamometresi ile \u00f6l\u00e7\u00fclerek, k\u0131r\u0131k ve sa\u011flam taraflar kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131.\n\nBulgular: El dinamometresi \u00f6l\u00e7\u00fcmlerinin k\u0131r\u0131k bulunan tarafla k\u0131yasland\u0131\u011f\u0131nda anlaml\u0131 derecede farkl\u0131 oldu\u011fu g\u00f6r\u00fcld\u00fc (p&lt;0.05). \u00dc\u00e7 olgunun a\u011f\u0131r i\u015fler s\u0131ras\u0131nda a\u011fr\u0131s\u0131 oldu\u011fu, bu olgular\u0131n da ikisinin tan\u0131s\u0131nda gecikme olan olgular, di\u011fer olgunun ise par\u00e7al\u0131 KMK \u00e7\u0131k\u0131k olgusu oldu\u011fu ve eski i\u015fine d\u00f6nemedi\u011fi saptand\u0131. Hastalar\u0131m\u0131z\u0131n hi\u00e7birinde n\u00fcks \u00e7\u0131k\u0131\u011f\u0131 g\u00f6r\u00fclmedi ve revizyon cerrahisi gerektirecek komplikasyon olu\u015fmad\u0131.\n\n\u00c7\u0131kar\u0131mlar: D\u00f6rd\u00fcnc\u00fc ve 5. KMK \u00e7\u0131k\u0131klarda erken tan\u0131 ve tedavi ile anatomik ve fonksiyonel a\u00e7\u0131dan ba\u015far\u0131l\u0131 sonu\u00e7lar al\u0131nmaktad\u0131r. Bu b\u00f6lgedeki gecikmeli veya yanl\u0131\u015f tan\u0131lar ciddi radyolojik ve fonksiyonel problemlere neden olmaktad\u0131r. Detayl\u0131 fizik ve radyolojik muayene ile KMK \u00e7\u0131k\u0131klar\u0131n\u0131n g\u00f6zden ka\u00e7\u0131r\u0131lmas\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilebilir.<\/jats:p>","DOI":"10.3944\/aott.2014.14.0040","type":"journal-article","created":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T07:24:43Z","timestamp":1422775483000},"page":"655-660","source":"Crossref","is-referenced-by-count":15,"title":["Fourth and fifth carpometacarpal fracture dislocations"],"prefix":"10.5152","volume":"48","author":[{"given":"Cemal","family":"Kural","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serdar","family":"Hakan Basaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ersin","family":"Ercin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alkan","family":"Bayrak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"G\u00f6khan Bilgili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Baca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2902\/2855","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:10:27Z","timestamp":1763464227000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2014,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2014.14.0040","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}