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示指腕掌关节掌侧脱位伴拇指贝内特骨折:一种罕见的损伤模式。

Volar dislocation of the index carpometacarpal joint in association with a Bennett's fracture of the thumb: a rare injury pattern.

作者信息

Dillon J P, Laing A J, Thakral R, Buckley J M, Mahalingam K

机构信息

Department of Orthopaedics, Cork University Hospital, Wilton, Co. Cork, Ireland.

出版信息

Emerg Med J. 2006 Mar;23(3):e23. doi: 10.1136/emj.2005.027763.

Abstract

We describe a case of volar dislocation of the index carpometacarpal (CMC) joint in association with a Bennett's fracture of the thumb following a motorcycle accident. Volar dislocation of the index carpometacarpal joint is an exceedingly rare but easily missed injury, with only a few reported cases in the literature. This report highlights the importance of a true lateral radiograph and close scrutiny of the film to detect this injury. Closed reduction supplemented with Kirschner wire fixation restored normal anatomical relations and achieved an excellent clinical result.

摘要

我们描述了一例摩托车事故后示指腕掌关节掌侧脱位合并拇指班尼特骨折的病例。示指腕掌关节掌侧脱位极为罕见但容易漏诊,文献中仅有少数病例报道。本报告强调了拍摄真正的侧位X线片及仔细观察片子以发现该损伤的重要性。闭合复位并辅以克氏针固定恢复了正常的解剖关系,取得了极佳的临床效果。

相似文献

2
Fractures of the basal joint of the thumb.
Clin Orthop Relat Res. 1987 Jul(220):46-51.
3
[Closed reduction and percutaneous K-wire fixation of Bennett's fracture dislocation].
Handchir Mikrochir Plast Chir. 2002 Jan;34(1):41-8. doi: 10.1055/s-2002-22106.
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Fractures and dislocations of the base of the thumb.
J South Orthop Assoc. 1995 Spring;4(1):69-76.
6
Percutaneous leverage pinning in the treatment of Bennett's fracture.
J Orthop Sci. 2005;10(1):27-31. doi: 10.1007/s00776-004-0856-6.

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