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创伤后腕中关节延迟性脱位

Delayed post-traumatic midcarpal dislocation.

作者信息

Hawken R M A, Fullilove S M

机构信息

Department of Orthopaedics, Derriford Hospital, Plymouth, Devon, UK.

出版信息

J Hand Surg Eur Vol. 2007 Oct;32(5):554-5. doi: 10.1016/J.JHSE.2007.04.019. Epub 2007 Aug 2.

Abstract

We report a case of delayed post-traumatic volar midcarpal dislocation in a 39 year-old woman. The dislocation was a gradual process starting from the time of injury. Initial X-rays showed a normal midcarpal joint. By 6 weeks, lunocapitate subluxation was apparent radiologically and by the 18 week X-ray, midcarpal dislocation had occurred. This type of wrist injury has not been previously reported. Because of advanced degenerative changes in the lunocapitate joint, a partial wrist fusion was performed with a successful outcome.

摘要

我们报告一例39岁女性创伤后掌侧腕中关节脱位延迟出现的病例。该脱位是一个从受伤时开始的渐进过程。最初的X线片显示腕中关节正常。到6周时,月骨-头状骨半脱位在影像学上明显可见,而到18周的X线片时,腕中关节脱位已经发生。这种类型的腕部损伤此前尚未见报道。由于月骨-头状骨关节出现晚期退行性改变,遂进行了部分腕关节融合术,结果成功。

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