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[拇指列的骨性和韧带损伤]

[Bony and ligamentous injuries of the thumb ray].

作者信息

Dinh-Biet D T D, Leschinger T, Müller L-P, Cavalcanti Kußmaul A, Unglaub F, Spies Christian Karl

机构信息

Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastisch-Ästhetische Chirurgie der Universität zu Köln, Köln, Deutschland.

Handchirurgie, Vulpius Klinik, Bad Rappenau, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2025 Jun;128(6):449-460. doi: 10.1007/s00113-025-01565-y. Epub 2025 Apr 16.

Abstract

Fractures and ligamentous lesions of the thumb ray are frequent due to the exposed position of the thumb. A thorough anatomical understanding with respect to the joints and stabilizing ligaments is essential for a targeted examination, the selection of appropriate imaging diagnostics and the decision for a surgical or conservative treatment approach. Misdiagnoses or untreated injuries can lead to impaired functionality, pain and instability, which can substantially impair the function of the hand, particularly thumb opposition.

摘要

由于拇指位置暴露,拇指列的骨折和韧带损伤很常见。对关节和稳定韧带进行全面的解剖学了解,对于有针对性的检查、选择合适的影像学诊断方法以及决定手术或保守治疗方案至关重要。误诊或未治疗的损伤会导致功能受损、疼痛和不稳定,这会严重损害手部功能,尤其是拇指对掌功能。

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