Terndrup T E, Schreck D M
Department of Critical Care and Emergency Medicine, SUNY Health Science Center, Syracuse 13210.
Ann Emerg Med. 1988 Apr;17(4):368-70. doi: 10.1016/s0196-0644(88)80785-6.
Dorsal dislocation of a proximal and distal interphalangeal joint is a common clinical problem. However, simultaneous dorsal dislocation of both interphalangeal joints in a single digit is rare. We describe the first case of an open, simultaneous proximal and distal interphalangeal dislocation. Patient outcome following vigorous wound care, closed reduction, and four weeks of immobilization was excellent. Review of reported cases revealed that these injuries occur most commonly in men, on the dominant hand, and in association with sporting injuries or falls, and typically have a good outcome following closed reduction and splinting.
近端和远端指间关节背侧脱位是常见的临床问题。然而，单个手指的两个指间关节同时发生背侧脱位的情况较为罕见。我们报道首例开放性、近端和远端指间关节同时脱位的病例。经过积极的伤口处理、闭合复位以及四周的固定，患者预后良好。对已报道病例的回顾显示，这些损伤最常见于男性、优势手，且与运动损伤或跌倒有关，通常在闭合复位和夹板固定后预后良好。
