与所有手指掌腕关节脱位相关的冠状钩骨骨折：文献综述及病例报告
Coronal Hamate Fracture Associated With Carpometacarpal Dislocations of All of the Fingers: Review of the Literature and Case Report.
作者信息
Gil Joseph A, Goodman Avi D, Starr Adam
机构信息
1 Brown University, Warren Alpert Medical School, Department of Orthopaedic Surgery, Providence, RI, USA.
出版信息
Hand (N Y). 2017 Sep;12(5):NP51-NP54. doi: 10.1177/1558944716668860. Epub 2016 Sep 22.
BACKGROUND
Dislocation of all 5 carpometacarpal (CMC) joints of a single hand is a rare injury.
METHODS
The literature regarding CMC fracture-dislocations was reviewed and a case was presented.
RESULTS
The relevant literature was consolidated to clinically relevant categories including 'Clinical Presentation and Diagnosis,' 'Management of CMC Fracture Dislocation and Hamate Fractures,' and 'Outcomes.'
CONCLUSIONS
The mechanism associated with this injury is often high energy that causes multiple simultaneous life- or limb-threatening injuries that could distract the examiner from identifying this injury. The case we present involves an axial dislocation of the carpus that resulted in dorsal dislocations of all CMC joints, dislocation of the hamate-capitate articulation, as well as fractures of the first metacarpal and the hamate.
背景
单手的全部5个腕掌关节脱位是一种罕见的损伤。
方法
回顾了关于腕掌关节骨折脱位的文献，并呈现了1例病例。
结果
将相关文献归纳为临床相关类别，包括“临床表现与诊断”“腕掌关节骨折脱位及钩骨骨折的治疗”和“治疗结果”。
结论
与这种损伤相关的机制通常是高能量损伤，会导致同时出现多处危及生命或肢体的损伤，这可能会使检查者忽略对该损伤的识别。我们呈现的病例涉及腕骨轴向脱位，导致所有腕掌关节背侧脱位、钩骨 - 头状骨关节脱位以及第一掌骨和钩骨骨折。
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