Fulton Zachary, Butler Justin, Porter Sean, Hiatt John, Patel Arun
Department of Orthopedics, Bon Secours Mercy St. Vincent Medical Center, Level 1 Trauma Center, Toledo, OH.
J Hand Surg Glob Online. 2022 Nov 26;5(2):234-238. doi: 10.1016/j.jhsg.2022.10.014. eCollection 2023 Mar.
Here, we present a novel emergency department reduction for a rare case of dissociative scaphoid and lunate dislocation with an ipsilateral elbow dislocation. Dissociative scaphoid and lunate dislocations have rarely been described in the literature. Most often, the reduction is performed on an urgent basis in the operating room because of the difficulty of closed reduction and associated complications, such as acute carpal tunnel syndrome. We illustrate and describe the setup and stepwise reduction techniques of ipsilateral elbow, scaphoid, and lunate dislocations, without the use of an assistant. A review of the current literature, a description of the patient's operative management, and 2-year follow-up data are provided.
在此,我们展示了一种针对罕见的舟月骨分离性脱位合并同侧肘关节脱位的新型急诊科复位方法。舟月骨分离性脱位在文献中鲜有描述。由于闭合复位困难及相关并发症,如急性腕管综合征,大多数情况下,复位需在手术室紧急进行。我们阐述并描述了同侧肘关节、舟骨和月骨脱位的设置及逐步复位技术,无需助手协助。同时提供了当前文献综述、患者手术治疗描述及2年随访数据。