14 岁男孩急性大多角骨掌关节脱位伴大多角骨骨折：病例报告。
Association of Acute Trapeziometacarpal Joint Dislocation and Trapezium Fracture in a 14-Year-Old Boy: A Case Report.
机构信息
ASST Sette Laghi, Varese, Italy.
University of Brescia, Italy.
出版信息
Hand (N Y). 2023 Jan;18(1):NP10-NP14. doi: 10.1177/15589447221092121. Epub 2022 Jun 1.
Abstract
Fracture-dislocation of the trapeziometacarpal (TM) joint in adolescent patients is a rare injury, with only 3 cases reported in literature to our knowledge. Its low incidence, together with the complexity of the anatomy and biomechanics of TM joint, may represent a challenge for surgeons in choosing the best treating option. Here, we report a case of a TM fracture dislocation in a 14-year-old boy treated with percutaneous Kirschner wire pinning. The results we obtained endorsed our choice in patients for whom closed reduction is achievable.
摘要
据我们所知，青少年患者的腕掌关节（TM）骨折脱位较为罕见，文献中仅报道了 3 例。由于其发病率低，加之 TM 关节解剖结构和生物力学复杂，这可能给外科医生选择最佳治疗方案带来挑战。在此，我们报告了 1 例 14 岁男孩 TM 骨折脱位的病例，采用经皮克氏针固定治疗。我们获得的结果证实了我们对可实现闭合复位患者的选择。
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