Moein Seyed Arman, Fereidooni Reza, Kousari Aliasghar
Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Trauma Case Rep. 2023 Aug 14;47:100900. doi: 10.1016/j.tcr.2023.100900. eCollection 2023 Oct.
Herein we present a case of four simultaneous dislocations of the hand resulting from a motorcycle accident in a young man. In this case, the 1st CMC, MCP, and IP joints of the right hand were dislocated along with right perilunate dislocation. Perilunate dislocation was treated with open reduction and internal fixation. Close reduction of IP and CMC was done and CMC was fixed by pins. MCP dislocation was treated by open reduction and pinning in addition to collateral ligament and capsular repair. In follow-up excellent functional activity and range of motion were observed.
在此，我们报告一例年轻男性因摩托车事故导致手部四处同时脱位的病例。在该病例中，右手的第1掌腕关节、掌指关节和指间关节脱位，同时伴有右月骨周围脱位。月骨周围脱位采用切开复位内固定治疗。指间关节和掌腕关节进行了闭合复位，掌腕关节用克氏针固定。掌指关节脱位除进行侧副韧带和关节囊修复外，还采用切开复位和克氏针固定治疗。随访时观察到功能活动和活动范围良好。
