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第五掌指关节尺侧型脱位:病例报告及文献复习

An Ulnar-Type Dislocation of Fifth Carpometacarpal Joint: Case Report and Review of the Literature.

作者信息

Malshikare Vijay A

机构信息

Department of Hand and Wrist Surgery, Jehangir Hospital, Pune, Maharashtra, India.

出版信息

J Hand Microsurg. 2020 Oct;12(Suppl 1):S61-S63. doi: 10.1055/s-0039-1680277. Epub 2019 Mar 1.

Abstract

Unilateral pure dislocation of the fifth carpometacarpal joint (CMCJ) is a very rare injury. We are reporting the second case of an ulnar type of unilateral dislocation of a fifth CMCJ. Indian salutation (Namaskar) test and radiographs aid in diagnosis. Closed reduction and internal fixation by K-wires restored the normal anatomic relationships of the fifth CMC joint. This type of injury is prone to be missed in an emergency room due to soft tissue swelling, and particular attention should be paid to diagnose it in polytrauma patients. A review of the literature is presented.

摘要

第五掌指关节(CMCJ)的单纯性单侧脱位非常罕见。我们报告了第二例第五掌指关节尺侧型单侧脱位病例。印度问候礼(Namaskar)试验和X线片有助于诊断。克氏针闭合复位及内固定恢复了第五掌指关节的正常解剖关系。由于软组织肿胀,这类损伤在急诊室容易被漏诊,对于多发伤患者应特别注意诊断。现对相关文献进行综述。

相似文献

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1
Ulnar dislocation of fifth carpometacarpal joint.第五掌指关节尺侧脱位。
Hand Surg. 2005 Jul;10(1):87-90. doi: 10.1142/S0218810405002498.
2
Dislocation of the fifth carpometacarpal joint.第五掌指关节脱位。
J Bone Joint Surg Br. 1955 May;37-B(2):254-6. doi: 10.1302/0301-620X.37B2.254.
7
Systematic approach to identifying fourth and fifth carpometacarpal joint dislocations.
AJR Am J Roentgenol. 1983 Feb;140(2):319-24. doi: 10.2214/ajr.140.2.319.
9
Carpometacarpal dislocation. An easily missed diagnosis.腕掌关节脱位。一种易被漏诊的疾病。
J Bone Joint Surg Br. 1987 Mar;69(2):212-4. doi: 10.1302/0301-620X.69B2.3818751.

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