Ferguson D B, Moore G, Hieke K A
Department of Emergency Medicine, Darnall Army Community Hospital, Ft. Hood, Texas 76544-5063.
Ann Emerg Med. 1989 Feb;18(2):204-6. doi: 10.1016/s0196-0644(89)80117-9.
We report the case of a 23-year-old man who fell from a third-floor window and injured his left hand. Physical examination and radiographic evaluation revealed open dorsal metacarpophalangeal dislocation of four fingers. The index finger dislocation was reduced in the emergency department, and the other three fingers responded to closed reduction during surgery. The patient made an uneventful recovery without complications. Metacarpophalangeal dislocations are unusual, with multiple dislocations rarely described.
我们报告一例23岁男性患者,其从三楼窗户坠落并致左手受伤。体格检查和影像学评估显示四指开放性背侧掌指关节脱位。食指脱位在急诊科得到复位,另外三指在手术中通过闭合复位成功处理。患者恢复顺利,无并发症。掌指关节脱位并不常见,很少有关于多发脱位的描述。