环状嵌入近节指间关节伴保留神经血管的手指：病例报告及文献复习。
Ring-Embedded Finger Over Proximal Interphalangeal Joint with Preserved Neurovascularization: A Case Report and Literature Review.
机构信息
Department of Orthopedics, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan.
出版信息
JBJS Case Connect. 2024 Aug 15;14(3). doi: 10.2106/JBJS.CC.24.00078. eCollection 2024 Jul 1.
CASE
We present a unique case of a 45-year-old man with his right middle finger embedded with rings. Limited finger flexion was noted because of flexor tendon injury caused by the dorsal migration of the embedded ring through joint. The rings were removed under anesthesia, resulting in the resolution of swelling and recover of osseous structure. Follow-up examinations revealed no residual edema or numbness, indicating preserved neurovascularization, despite the dorsal migration of the ring.
CONCLUSION
Our unique case reveals continuous finger ring migration without compromising neurovascular bundles, with review of 30 cases emphasizing the importance of psychiatric consultation. Timely intervention yielded nearly half of patients achieving full recovery.
病例
我们报告了一个独特的病例，一名 45 岁男性的右手中指嵌入了戒指。由于嵌入的戒指通过关节背侧迁移导致屈肌腱损伤，手指弯曲受限。在麻醉下取出戒指，肿胀消退，骨质结构恢复。随访检查显示无残留水肿或麻木，表明尽管戒指背侧迁移，但神经血管仍保持完好。
结论
我们的独特病例揭示了手指戒指的持续迁移，而不会影响神经血管束，回顾 30 例病例强调了精神科咨询的重要性。及时干预使近一半的患者完全康复。
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