Sim E
Unfallkrankenhaus Meidling, Wien.
Sportverletz Sportschaden. 1990 Jun;4(2):92-5. doi: 10.1055/s-2007-993605.
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.
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。