Cardozo Diego Fernando Rincón, Plata Guillermo Varón, Casas Jairo Antonio Camacho, Rodríguez Natalia Sauza
Department of Orthopedics and Traumatology, Hospital Universitario de Santander, Universidad Industrial de Santander, Bucaramanga, Colombia.
Clin Orthop Surg. 2016 Jun;8(2):223-7. doi: 10.4055/cios.2016.8.2.223. Epub 2016 May 10.
The trapezoid metacarpal dislocation is a rare event. In the literature, it is found in case reports. This injury is caused by direct or indirect high energy trauma. In most cases, the dislocation is dorsal and is difficult to reproduce because the joint is not very mobile. Given the low incidence and little evidence supported in the literature regarding the management, this injury can be treated by open or closed reduction; however, it has been published that most authors use Kirschner wire fixation with good results. Here we present our experience in the management of a male patient with acute trapezoid metacarpal dislocation handled with a splint with good functional results at 6 weeks.
大多角骨掌骨脱位是一种罕见的情况。在文献中，它见于病例报告。这种损伤由直接或间接的高能创伤引起。在大多数情况下，脱位是背侧的，并且由于关节活动度不是很大，所以很难重现。鉴于这种损伤的低发病率以及文献中关于其治疗的证据较少，这种损伤可以通过切开复位或闭合复位进行治疗；然而，据发表的内容，大多数作者使用克氏针固定，效果良好。在此，我们介绍我们对一名急性大多角骨掌骨脱位男性患者采用夹板治疗的经验，6周时功能恢复良好。
