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[拇指鞍状关节脱位作为一种罕见的运动损伤]

[Dislocation of the thumb saddle joint as a rare sports injury].

作者信息

Sim E

机构信息

Unfallkrankenhaus Meidling, Wien.

出版信息

Sportverletz Sportschaden. 1990 Jun;4(2):92-5. doi: 10.1055/s-2007-993605.

Abstract

This report deals with 4 dislocations of the carpometacarpal joint of the thumb during the period 1957-1983 as an injury caused by sports. 3 dislocations could be found in boxing, one was caused by a fall from a horizontal bar. All of them were closed: two times the dislocation was to the dorsal, one to the dorso-ulnar and one to the dorso-radial side. Closed dislocations do not require operative treatment. Reduction and immobilisation for four weeks in a plaster splint with inclusion of the thumb were sufficient, recurrence of the dislocation did not occur. Correct bandage and the use of effective boxing gloves are of great importance.

摘要

本报告涉及1957年至1983年期间发生的4例拇指腕掌关节脱位,均为运动损伤所致。其中3例脱位发生在拳击运动中,1例是因从单杠上跌落导致。所有脱位均为闭合性:2例向背侧脱位,1例向背尺侧脱位,1例向背桡侧脱位。闭合性脱位无需手术治疗。用包括拇指的石膏夹板复位并固定四周就足够了,脱位未复发。正确的包扎和使用有效的拳击手套非常重要。

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