Fayman M, Hugo B, de Wet H
Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.
Plast Reconstr Surg. 1988 Jul;82(1):151-4.
A case of unique combination of simultaneous dislocation of all five carpometacarpal joints is presented. The mechanism of injury in this case seems to be some manner of punching with a closed fist rather than direct violence. Satisfactory results were achieved using simple principles of manipulation under anesthesia, open reduction, and skeletal fixation, followed by intensive physiotherapy.
本文报道了一例罕见的五指掌指关节同时脱位的病例。该病例的损伤机制似乎是某种握拳 punching 方式,而非直接暴力。通过在麻醉下采用简单的手法复位、切开复位和骨骼固定原则,并随后进行强化物理治疗,取得了满意的效果。 (注:这里“punching”直译为“猛击”,结合语境可能是类似握拳猛击的动作,但表述稍显模糊,具体含义需结合更详细的医学背景确定)