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尼龙绳束窄效应致职业性拇指远节创伤性离断：一例报告并文献复习

Occupational traumatic amputation of distal part of thumb caused by constriction effect of nylon rope: a case report with review of literature.

作者信息

Kalra M, Mahmood A, Patralekh M

机构信息

Department of Orthopaedics, Lady Hardinge Medical College, Delhi 110001, India ; Department of Orthopaedics, Sohar Hospital, Sohar 321, Oman.

出版信息

Case Rep Orthop. 2011;2011:427823. doi: 10.1155/2011/427823. Epub 2011 Oct 9.

DOI:10.1155/2011/427823
PMID:23198211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3505907/
Abstract

A 60-year-old farmer came to the accident and emergency department complaining of traumatic amputation of distal part of right thumb. On examination, there was a circumferential wound located at the base of right thumbnail with injury to both neurovascular bundles and fracture of distal part of distal phalanx with the distal part hanging by volar skin only. The wound was irrigated and the distal part terminalised with direct loose skin closure. Discussion with the patient about the scenario of trauma revealed a mechanism of injury which may appear unique.

摘要

一名60岁的农民来到急诊部，主诉右手拇指远端外伤性截断。检查发现，在右手拇指指甲根部有一个环形伤口，神经血管束均受损，远节指骨远端骨折，远端仅靠掌侧皮肤相连。对伤口进行了冲洗，并直接进行松散皮肤缝合将远端截断。与患者讨论创伤情况后发现其受伤机制可能较为独特。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2d/3505907/ed68b38d4249/CRIM.ORTHOPEDICS2011-427823.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2d/3505907/dc0af3c6520e/CRIM.ORTHOPEDICS2011-427823.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2d/3505907/5bc2d4053d0b/CRIM.ORTHOPEDICS2011-427823.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2d/3505907/ed68b38d4249/CRIM.ORTHOPEDICS2011-427823.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2d/3505907/dc0af3c6520e/CRIM.ORTHOPEDICS2011-427823.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2d/3505907/5bc2d4053d0b/CRIM.ORTHOPEDICS2011-427823.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee2d/3505907/ed68b38d4249/CRIM.ORTHOPEDICS2011-427823.003.jpg

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