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Dislocated thumb is a common hand injury that occurs when the bones of the thumb are forced out of their normal positions. Treatment options for a dislocated thumb include closed reduction, open reduction, and k-wire fixation.

Closed reduction is a non-surgical procedure in which the healthcare provider gently manipulates the thumb bones back into their correct position. The patient may be given a local anesthesia to numb the area, and the provider will use their hands to gently push the bones back into place. This procedure is often done in an emergency room or urgent care center.

Open reduction is a surgical procedure in which the healthcare provider makes an incision in the skin and soft tissues around the thumb to directly access the dislocated bones. This procedure is usually reserved for more severe cases where closed reduction has failed or is not possible.

K-wire fixation is a surgical procedure that involves using a thin wire (k-wire) to hold the dislocated bones in place while they heal. The k-wire is inserted through the skin and into the bones, and it may be left in place for several weeks while the bones heal. This procedure is often used in cases where the dislocation is severe or the bones are unstable.

After any of these treatments, the patient will typically be given a splint or cast to immobilize the thumb and allow it to heal. Rehabilitation exercises may also be prescribed to help restore strength and flexibility to the thumb once it has healed.