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腕掌关节脱位:5例报告及文献复习

Carpometacarpal dislocations: report of five cases and review of the literature.

作者信息

Mueller J J

出版信息

J Hand Surg Am. 1986 Mar;11(2):184-8. doi: 10.1016/s0363-5023(86)80048-x.

DOI:10.1016/s0363-5023(86)80048-x
PMID:3958446
Abstract

Carpometacarpal dislocations occur in less than 1% of hand injuries. Since 1973, five cases were treated at Henry Ford Hospital. Three of the dislocations were unstable and required internal fixation. Of these dislocations only one needed open reduction. The other two dislocations were successfully treated by closed reduction and cast immobilization. Follow-up ranged from 2 to 13 months. Three patients were asymptomatic, and the other two, both of whose injuries had been treated by internal fixation, reported pain with activity.

摘要

腕掌关节脱位在手外伤中发生率不到1%。自1973年以来,亨利·福特医院共治疗了5例。其中3例脱位不稳定,需要内固定。在这些脱位病例中,只有1例需要切开复位。另外2例脱位通过闭合复位和石膏固定成功治愈。随访时间为2至13个月。3例患者无症状,另外2例均接受了内固定治疗,他们报告活动时疼痛。

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