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合并背侧和尺侧腕掌关节脱位伴第一掌骨基底开放性骨折及严重脱套伤

Combined Dorsal and Ulnarward Carpometacarpal Dislocation Associated with Open Fracture of the Base of First Metacarpal and Severe Degloving Injury.

作者信息

Electricwala Ali J, Electricwala Jaffer T

机构信息

Electricwala Hospital and Clinics, Himalayan Heights, Pune, Maharashtra 411013, India.

出版信息

Case Rep Emerg Med. 2017;2017:7524563. doi: 10.1155/2017/7524563. Epub 2017 Aug 15.

DOI:10.1155/2017/7524563
PMID:28894612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5574274/
Abstract

We report a rare case of dislocation of second to fourth carpometacarpal (CMC) joints of the right hand with combined dorsal and ulnarward displacement of the second to fourth digits and fracture of the shaft of the first metacarpal associated with degloving injury. These injuries were diagnosed early and treated successfully with closed reduction and internal fixation using Kirschner wires. The functional outcome was good at follow-up at 5 years. A high index of suspicion is required to successfully diagnose and treat this condition.

摘要

我们报告了一例罕见的右手第二至第四掌指关节脱位病例，伴有第二至第四指背侧和尺侧移位，以及第一掌骨干骨折合并脱套伤。这些损伤早期得到诊断，并通过克氏针闭合复位和内固定成功治疗。随访5年时功能结果良好。成功诊断和治疗这种情况需要高度的怀疑指数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/28e6124ac15d/CRIEM2017-7524563.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/a63f35e1eebd/CRIEM2017-7524563.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/5f87c742afb0/CRIEM2017-7524563.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/cfad30820fcf/CRIEM2017-7524563.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/28e6124ac15d/CRIEM2017-7524563.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/a63f35e1eebd/CRIEM2017-7524563.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/5f87c742afb0/CRIEM2017-7524563.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/cfad30820fcf/CRIEM2017-7524563.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bae9/5574274/28e6124ac15d/CRIEM2017-7524563.004.jpg

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