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趾间关节脱位:一项回顾性病例系列研究及文献综述

Interphalangeal dislocation of toes: a retrospective case series and review of the literature.

作者信息

Yang Isaac B, Sun Kelvin K W, Sha Wai-Leung, Yu Kong-San, Chow Yuk-Yin

机构信息

Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Hong Kong.

出版信息

J Foot Ankle Surg. 2011 Sep-Oct;50(5):580-4. doi: 10.1053/j.jfas.2011.04.032. Epub 2011 May 31.

Abstract

Although not uncommon, dislocation of the toes, including that of the great toe, is not commonly reported in published studies. In the present report, we describe a series of 18 patients with toe dislocations managed by our department from January 2001 to December 2007. We considered the radiographic pattern of injury in our series of patients. Of the 18 patients, 10 (55.56%) had their toe dislocations treated by closed reduction with or without internal fixation. Seven patients (38.89%) with complex dislocation, defined as open dislocation or dislocation not amenable to (failed attempt) closed reduction, that required open reduction and internal fixation. One patient (5.56%) with a dislocated toe declined to undergo any form of treatment.

摘要

尽管脚趾脱位,包括拇趾脱位并不罕见,但在已发表的研究中却不常被报道。在本报告中,我们描述了2001年1月至2007年12月期间由我科治疗的一系列18例脚趾脱位患者。我们研究了该系列患者的影像学损伤模式。在这18例患者中,10例(55.56%)的脚趾脱位采用了闭合复位加或不加内固定的方法进行治疗。7例(38.89%)复杂脱位患者,即开放性脱位或无法进行(尝试失败)闭合复位的脱位,需要切开复位内固定。1例(5.56%)脚趾脱位患者拒绝接受任何形式的治疗。

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