A unique case of capito-hamate fractures with simultaneous dislocation of third, fourth and fifth carpometacarpal joints in a young adult

Carpometacarpal fracture dislocations are rare and infrequent injuries, which are usually missed at the first presentation. The gross swelling of the wrist and hand conceals the deformity and the radiographs may not reveal much findings. It is important to make an early diagnosis for an appropriate treatment to prevent future morbidity. Therefore, a high index of suspicion, good quality imaging and a prompt surgical intervention in select cases results in a good functional recovery and optimal function of the hand. Simultaneous capitohamate fractures and soft tissue disruption with these injuries are a unique entity and has rarely been reported. We had such an interesting case of third, fourth and fifth carpometacarpal dislocations with fractures of capitate, hamate and metacarpal bases that was diagnosed early and managed successfully with surgical repair of both bone and soft tissue injuries resulting in an excellent outcome and early return to pre-injury activity levels.