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第五掌骨头籽骨骨折：一种罕见损伤。

Fracture of the Fifth Finger Sesamoid: A Rare Injury.

作者信息

Aslantürk Okan, Ergen Emre

机构信息

Department of Orthopedic and Trauma Surgery, Malatya Educational Research Hospital, Malatya, Turkey.

Department of Orthopedic and Trauma Surgery, Inonu University Medicine Faculty, Malatya, Turkey.

出版信息

Indian J Orthop. 2019 Sep-Oct;53(5):616-617. doi: 10.4103/ortho.IJOrtho_301_18.

DOI:10.4103/ortho.IJOrtho_301_18
PMID:31488929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6699212/
Abstract

Fracture of the hand sesamoid bones is rare. Fractures are usually missed initially. Mechanism of injury is usually reported as hyperextension and less frequently as direct compression of metacarpophalangeal joint. Fracture of the hand sesamoid bones has been usually reported in the thumb. We report a case of fifth-digit sesamoid fracture, treated conservatively. In 6 months of followup, the patient had a full range of motion without pain.

摘要

手部籽骨骨折较为罕见。骨折最初通常易被漏诊。损伤机制通常报道为掌指关节过度伸展，较少见的是直接受压。手部籽骨骨折通常见于拇指。我们报告一例第五指籽骨骨折，采用保守治疗。在6个月的随访中，患者活动范围正常且无疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a23/6699212/0363bcd2ffc5/IJOrtho-53-616-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a23/6699212/2b29adc39de0/IJOrtho-53-616-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a23/6699212/0363bcd2ffc5/IJOrtho-53-616-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a23/6699212/2b29adc39de0/IJOrtho-53-616-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a23/6699212/0363bcd2ffc5/IJOrtho-53-616-g002.jpg

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Jt Dis Relat Surg. 2021;32(2):391-396. doi: 10.52312/jdrs.2021.79. Epub 2021 Jun 11.

本文引用的文献

1
Fracture of the sesamoid bones of the thumb associated with volar plate injury: ultrasound diagnosis.拇指籽骨骨折合并掌板损伤：超声诊断
J Ultrasound. 2015 Mar 24;18(4):395-8. doi: 10.1007/s40477-015-0166-1. eCollection 2015 Dec.
2
Sesamoid disorders of the hand.手部籽骨疾病
J Hand Surg Am. 2015 Jun;40(6):1231-2. doi: 10.1016/j.jhsa.2015.01.029. Epub 2015 Mar 11.
3
The prevalence of the sesamoid bones of the hand: a systematic review and meta-analysis.手部籽骨的患病率：一项系统评价和荟萃分析。
Clin Anat. 2014 Nov;27(8):1291-303. doi: 10.1002/ca.22378. Epub 2014 Feb 25.
4
Fractures of the lesser sesamoids: case series.小籽骨骨折：病例系列
J Hand Surg Am. 2013 Oct;38(10):1941-4. doi: 10.1016/j.jhsa.2013.06.039. Epub 2013 Sep 5.
5
ON FRACTURES OF THE SESAMOID BONES OF THE THUMB.论拇指籽骨骨折
Ann Surg. 1915 Sep;62(3):297-301. doi: 10.1097/00000658-191509000-00007.
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Fracture of the index sesamoid--a case report.示指籽骨骨折——病例报告
Acta Orthop Scand. 2002 Dec;73(6):715-6. doi: 10.1080/000164702321039741.
7
Irreducible dislocation of the interphalangeal joint of the thumb due to sesamoid bone interposition: a case report.籽骨嵌入导致拇指指间关节不可复性脱位：1例病例报告
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Fifth digit sesamoid fracture with tenosynovitis.第五指籽骨骨折伴腱鞘炎。
J Hand Surg Am. 1992 Sep;17(5):915-7. doi: 10.1016/0363-5023(92)90469-6.