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夹板固定导致的拇指指神经病变

Thumb digital neuropathy caused by splinting.

作者信息

Kagel E M, Rayan G M

机构信息

University of Oklahoma Health Sciences Center, USA.

出版信息

J Okla State Med Assoc. 2000 Sep;93(9):435-6.

PMID:11030140
Abstract

Healthcare professionals are currently faced with a great variety of splints and splinting materials. Choices range from prefabricated products to custom splints made on-site from plaster, orthoplast, or fiberglass. In addition to providing immobilization to maintain a particular posture, a splint must protect important soft tissues. Patients with hand or wrist injuries often receive a prefabricated metal cock-up wrist splint in emergency departments. Complications from splints are not uncommon but are infrequently reported. We report a case in which a metal wrist cock-up splint caused compression of the thumb ulnar digital nerve. Preventive measures for such complication are included.

摘要

医疗保健专业人员目前面临着各种各样的夹板和夹板材料。选择范围从预制产品到现场用石膏、塑形板或玻璃纤维制作的定制夹板。除了提供固定以维持特定姿势外,夹板还必须保护重要的软组织。手部或腕部受伤的患者在急诊科经常会收到预制的金属背伸腕夹板。夹板引起的并发症并不罕见,但很少有报道。我们报告一例金属背伸腕夹板导致拇指尺侧指神经受压的病例。文中还包括了针对此类并发症的预防措施。

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引用本文的文献

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Optimization design of thumbspica splint using finite element method.基于有限元法的拇指人字形夹板优化设计
Med Biol Eng Comput. 2006 Dec;44(12):1105-11. doi: 10.1007/s11517-006-0131-4. Epub 2006 Nov 15.