Shah Chirag M, Sommerkamp T G
University of Cincinnati, Department of Orthopedics-Hand Surgery Specialists, Cincinnati, OH.
University of Cincinnati, Department of Orthopedics-Hand Surgery Specialists, Cincinnati, OH.
J Hand Surg Am. 2014 Apr;39(4):792-802. doi: 10.1016/j.jhsa.2013.10.001.
Fracture dislocations of the hand are difficult and often unforgiving injuries. Keys to treatment include early recognition, stable concentric reduction, and protected early active range of motion maintaining joint stability. The balance between stability and mobility is difficult to manage; therefore, surgeons need a wide array of treatments to tailor management to the specific fracture pattern. With appropriate treatment, residual stiffness and pain can be minimized. This Current Concepts review aims to provide up-to-date management for proximal interphalangeal, distal interphalangeal, and metacarpophalangeal joint fracture dislocations.
手部骨折脱位是一类棘手且通常预后不佳的损伤。治疗的关键包括早期识别、稳定的同心复位以及在保持关节稳定的前提下进行早期主动活动范围的保护。稳定性和灵活性之间的平衡很难把握;因此,外科医生需要多种治疗方法来根据具体骨折类型制定个性化治疗方案。通过适当的治疗,可将残留的僵硬和疼痛降至最低。本“当前概念”综述旨在为近端指间关节、远端指间关节和掌指关节骨折脱位提供最新的治疗方法。