第五指近节指间关节与掌指关节同时同侧脱位：一例报告。
Simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of the fifth phalanx: A case report.
作者信息
Unay Koray, Ozkan Korhan, Ugutmen Ender, Ozkan Feyza Unlu, Eren Abdullah, Bilsel Kerem
机构信息
Goztepe Research and Training Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.
出版信息
Cases J. 2008 Oct 3;1(1):208. doi: 10.1186/1757-1626-1-208.
INTRODUCTION
There is no case of simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of a finger in the literature.
CASE PRESENTATION
A 61 years old male patient sustained an ipsilateral dorsal dislocation of the PIP joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint. Closed reduction of proximal interphalangeal joint was achieved while open reduction of the metacarpophalangeal joint was carried out.
CONCLUSION
The single most important element preventing reduction of the metacarpophalangeal joint was an interposition of the volar plate between proximal end of the phalanx and the head of the metacarpal.
引言
文献中尚无手指同侧近端指间关节和掌指关节同时脱位的病例。
病例介绍
一名61岁男性患者，其右手第五指近端指间关节发生同侧背侧脱位，掌指关节也出现背侧脱位。近端指间关节进行了闭合复位，而掌指关节则实施了切开复位。
结论
阻碍掌指关节复位的唯一最重要因素是掌侧板在指骨近端与掌骨头之间发生了嵌入。
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