Smith T F
Clin Podiatry. 1985 Apr;2(2):349-64.
Identification of the mechanism of injury is the hallmark of dislocation management. If the mechanism can be established by history, anatomic disruptions can be logically explained and identified. Conversely, the injury pattern clinically may help deduce the mechanism. Once the mechanism is established, either historically or clinically, relocation maneuvers can be planned and executed. A review of pedal dislocations has been presented with emphasis on anatomic relationships and mechanism of injury. These principles encompass diagnosis, treatment, and management. They must be understood to manage not only the acute emergency situation but the chronic disability of post-traumatic arthritis.
确定损伤机制是脱位处理的关键。如果能通过病史确定损伤机制，那么解剖结构的破坏就能得到合理的解释和识别。相反，临床上的损伤模式可能有助于推断损伤机制。一旦通过病史或临床确定了损伤机制，就可以规划并实施复位手法。本文对足部脱位进行了综述，重点强调了解剖关系和损伤机制。这些原则涵盖了诊断、治疗和处理。必须理解这些原则，以便不仅能处理急性紧急情况，还能应对创伤后关节炎的慢性残疾问题。
