Cates Robert A, Rhee Peter C, Kakar Sanjeev
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
J Wrist Surg. 2016 Aug;5(3):236-40. doi: 10.1055/s-0036-1580602. Epub 2016 Mar 9.
Simultaneous volar dislocations of the second through fifth carpometacarpal joints are rare injuries, usually a result of high-energy trauma to the hand. The literature regarding this topic is sparse and consists primarily of case reports. We present a case associated with median nerve contusion that was treated with open reduction and pin fixation. The median nerve injury resolved without incident, and the pins were removed at 10 weeks without loss of reduction. Three years postoperatively, the patient was without pain and had excellent use of his hand without strength or motion deficit.
第二至第五掌指关节同时掌侧脱位是罕见的损伤，通常是手部受到高能量创伤的结果。关于这一主题的文献稀少，主要是病例报告。我们报告一例伴有正中神经挫伤的病例，采用切开复位和钢针固定治疗。正中神经损伤顺利恢复，10周时拔除钢针，复位未丢失。术后三年，患者无疼痛，手部功能良好，无力量或活动障碍。
