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腕掌关节脱位。一种易被漏诊的疾病。

Carpometacarpal dislocation. An easily missed diagnosis.

作者信息

Henderson J J, Arafa M A

出版信息

J Bone Joint Surg Br. 1987 Mar;69(2):212-4. doi: 10.1302/0301-620X.69B2.3818751.

DOI:10.1302/0301-620X.69B2.3818751
PMID:3818751
Abstract

We have reviewed 21 cases of dorsal dislocation of carpometacarpal joints. In 15 of them the diagnosis was missed when they were first seen in an accident and emergency department. General swelling may obscure the characteristic clinical deformity and routine radiographs may not show the displacement clearly. It is recommended that a true lateral radiograph of the hand be requested when this injury is suspected.

摘要

我们回顾了21例腕掌关节背侧脱位的病例。其中15例在初次于急诊科就诊时被漏诊。一般的肿胀可能会掩盖特征性的临床畸形,常规X线片可能无法清晰显示移位情况。建议在怀疑有此损伤时拍摄手部的真正侧位X线片。

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