The patient may present with ulnar deviation of the 5th digit if just the 5th carpometacarpal joint is dislocated. A mass may be present in cases of 3rd, 4th, and 5th joint dislocation. Often the hand is so grossly swollen that these features may not be readily apparent.
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The second to fifth carpometacarpal joints are synovial joints which commonly communicate with the intercarpal joints and the articulations at the metacarpal bases 1.
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These radiographic signs are reliable only when the palm is laid flat on the film cassette with straight fingers. It is often difficult to analyze the x-rays of patients following trauma because, as a result of pain and swelling, the dorsopalmar view cannot be curso de fotografia exposed with the palm pressed flat on the cassette.
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