Bálványossy P, Radó S
Magy Traumatol Orthop Helyreallito Seb. 1978;21(1):70-4.
A case of open carpo-metacarpal dislocation complicated by dislocation of the os trapesium is reported in this paper. The patient's wrist healed with good functional results, despite a partial mistake in diagnosis. The authors draw attention to the fact, that X-ray films taken at admission must be analysed carefully and intraoperative X-rays films must be taken. By demonstration their own mistake in diagnosis and treatment, the authors hope that a similar mistake will be avoided. Following early open or closed reduction, a temporary wire fixation of the metacarpal bones to the carpal bones is recommended in order to prevent redislocation.
本文报道了一例开放性腕掌关节脱位合并大多角骨脱位的病例。尽管诊断存在部分失误，但患者的腕关节愈合后功能恢复良好。作者提请注意，入院时拍摄的X线片必须仔细分析，并且术中必须拍摄X线片。通过展示自己在诊断和治疗中的失误，作者希望避免类似的错误。早期进行开放或闭合复位后，建议用钢丝将掌骨临时固定于腕骨，以防止再脱位。
