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拇指掌指关节的被忽视的掌侧半脱位：一例报告。

Neglected volar subluxation of the metacarpophalangeal joint of the thumb: A case report.

机构信息

Private Sultan Hospital, Ortopedi ve Travmatoloji Kliniği, Diyarbakır, Turkey.

Medicine Hospital, Istanbul, Turkey.

出版信息

Acta Biomed. 2021 Apr 30;92(S1):e2021034. doi: 10.23750/abm.v92iS1.9183.

DOI:10.23750/abm.v92iS1.9183
PMID:33944847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8142755/
Abstract

We present an 30 year-old female patient with a volar subluxation of the metacarpophalangeal joint of the thumb.Dislocation  of the metacarpophalangeal joint is rare ; volar subluxation is much more rare. Open reduction was performed through a dorsal incision because of the soft tissue interposition. Ultimately, doctors in the emergency department should pay attention to volar MCPJ subluxation and it is important to assess collateral ligament stability after closed reduction.

摘要

我们报告了一位 30 岁女性患者，她的拇指掌指关节发生掌侧半脱位。掌指关节脱位很少见，掌侧半脱位更为罕见。由于存在软组织嵌顿，故通过背侧切口进行了切开复位。最终，急诊科的医生应该注意掌侧 MCPJ 半脱位，在闭合复位后评估侧副韧带稳定性非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/f46bf84bd63a/ACTA-92-34-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/b5e26584c753/ACTA-92-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/55f1e9240551/ACTA-92-34-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/38c2849c69a0/ACTA-92-34-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/f46bf84bd63a/ACTA-92-34-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/b5e26584c753/ACTA-92-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/55f1e9240551/ACTA-92-34-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/38c2849c69a0/ACTA-92-34-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f620/8142755/f46bf84bd63a/ACTA-92-34-g004.jpg

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本文引用的文献

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Volar dislocation of the metacarpophalangeal joint of the thumb: A case report.拇指掌指关节掌侧脱位：一例报告。
Acta Orthop Traumatol Turc. 2017 Jul;51(4):352-354. doi: 10.1016/j.aott.2017.03.014. Epub 2017 Apr 27.
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Simultaneous Volar Dislocations of Carpometacarpal and Metacarpophalangeal Joints of the Thumb.拇指腕掌关节和掌指关节同时掌侧脱位
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Volar dislocation of the thumb metacarpophalangeal joint with acute repair of the ulnar collateral ligament.拇指掌指关节掌侧脱位伴尺侧副韧带急性修复
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J Hand Surg Eur Vol. 2014 Mar;39(3):276-81. doi: 10.1177/1753193413499291. Epub 2013 Aug 1.
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Irreducible palmar metacarpophalangeal joint dislocation due to junctura tendinum interposition: a case report and review of the literature.由于腱间结合部嵌顿导致的不可复位性掌侧掌指关节脱位：1例病例报告及文献复习
J Hand Surg Am. 2000 Jan;25(1):166-72. doi: 10.1053/jhsu.2000.jhsu025a0166.
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Chronic, complex volar dislocation of the metacarpophalangeal joint.掌指关节慢性、复杂性掌侧脱位
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