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桡尺远侧关节掌侧孤立性脱位:多么容易漏诊啊!

Isolated volar dislocation of distal radioulnar joint: how easy to miss!

作者信息

Mittal Rajnish, Kulkarni Rupen, Subsposh Syed Y A, Giannoudis Peter V

机构信息

Department of Orthopaedic Surgery, Alexandra Hospital, Redditch, UK.

出版信息

Eur J Emerg Med. 2004 Apr;11(2):113-6. doi: 10.1097/00063110-200404000-00012.

Abstract

Volar dislocation of the distal radioulnar joint without concomitant fracture of the radius or ulna is a very rare but a commonly missed injury in emergency situations. If left untreated, this injury can lead to significant functional disability. We report a case of a young man who sustained an acute, isolated, volar dislocation of the distal radioulnar joint, and highlight the important clinical and radiological features, which can help in diagnosing the condition in the Accident and Emergency Department where the patients with such injuries present first.

摘要

桡尺远侧关节掌侧脱位,而无桡骨或尺骨骨折,这是一种非常罕见但在紧急情况下常被漏诊的损伤。若不治疗,这种损伤会导致严重的功能障碍。我们报告一例年轻男性急性、孤立性桡尺远侧关节掌侧脱位病例,并强调重要的临床和影像学特征,这些特征有助于在急诊科对这类损伤患者进行诊断,因为此类患者首先会前往急诊科就诊。

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