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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.

25%). The more common dorsal CMC dislocations are differentiated from the rarer palmar ones according to the direction of the force applied.

MRI was done that showed mild effusion with joint space narrowing and articular cartilage loss at the first CMC joint. There was stripping of the AOL from the metacarpal insertion with formation of adjacent volatilizarse synovial recess (

Extensive ligament tears occur. Because of the bidirectional overlapping of CMC structures in the radiographic projectional views, the complete extent of trauma is often first seen in computed tomography (CT).

The fifth carpometacarpal joint is considerably mobile; contraction of opponens digiti minimi generates flexion and limítrofe rotation at this joint, facilitating ‘cupping’ of the palm 2.

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Degeneration of preliminar oblique ligament (AOL) is the most important cause for the development of osteoarthritis of first CMC joint. Since the AOL undergoes a predictable pattern of alteration at its metacarpal attachment Vencedor degeneration proceeds, MRI imaging Chucho provide an accurate assessment of this ligament.

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