Kraus Chadd K, Weaver Kevin R
Department of Emergency Medicine, Lehigh Valley Health Network, Allentown, PA.
Department of Emergency Medicine, Lehigh Valley Health Network, Allentown, PA.
Am J Emerg Med. 2014 Dec;32(12):1561.e1-2. doi: 10.1016/j.ajem.2014.05.048. Epub 2014 Jun 2.
We present a case report and review of the literature of traumatic dislocation of the carpometacarpal joint of the left thumb without associated fracture. The injury was sustained while skiing, and after emergency department diagnosis, the dislocation was reduced and the joint stabilized with a splint. The patient was discharged with close follow-up with a hand surgeon for definitive surgical fixation. Carpometacarpal joint dislocations of the thumb are exceedingly rare injuries and require appropriate diagnosis and treatment to minimize the morbidity and loss of function that can occur with these injuries.
我们报告一例左拇指腕掌关节创伤性脱位且无相关骨折的病例，并对相关文献进行综述。该损伤发生在滑雪时，经急诊科诊断后，脱位得到复位，并用夹板固定关节。患者出院时需由手外科医生密切随访，以便进行确定性手术固定。拇指腕掌关节脱位是极为罕见的损伤，需要进行恰当的诊断和治疗，以尽量减少这些损伤可能导致的发病率和功能丧失。
