Hall R F, Gleason T F, Kasa R F
J Hand Surg Am. 1985 Jan;10(1):81-5. doi: 10.1016/s0363-5023(85)80253-7.
A patient with simultaneous closed dislocation of the metacarpophalangeal joints of the index, long, and ring fingers and an ipsilateral fracture of the radius with an associated fracture-dislocation of the distal radioulnar joint is presented. This is the first such case to be described. The mechanism of injury was a fall on an outstretched hand. The dislocations of the metacarpophalangeal joints were successfully reduced by open relocation through dorsal approaches. The fractured radius was treated with open reduction and plate fixation. The patient was placed in a dorsal extension block splint after surgery, and active motion was encouraged. Eleven months later, the patient could make a full fist and extend all fingers. Grip strength was 110 pounds in the right hand, and 100 pounds in the injured left hand.
本文报告一例示指、中指和环指掌指关节同时闭合性脱位，合并同侧桡骨骨折及下尺桡关节骨折脱位的病例。这是首例此类病例报道。损伤机制为伸手撑地摔倒。掌指关节脱位通过背侧入路切开复位成功复位。桡骨骨折采用切开复位钢板内固定治疗。术后患者佩戴背伸位阻挡支具，并鼓励主动活动。11个月后，患者可完全握拳并伸展所有手指。右手握力为110磅，受伤的左手握力为100磅。
