Dinh-Biet D T D, Leschinger T, Müller L-P, Cavalcanti Kußmaul A, Unglaub F, Spies Christian Karl
Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastisch-Ästhetische Chirurgie der Universität zu Köln, Köln, Deutschland.
Handchirurgie, Vulpius Klinik, Bad Rappenau, Deutschland.
Unfallchirurgie (Heidelb). 2025 Jun;128(6):449-460. doi: 10.1007/s00113-025-01565-y. Epub 2025 Apr 16.
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.
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。