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贝内特氏脱位骨折合并大多角骨骨折:伊斯伦克氏针内固定的优势:病例报告及文献综述

Bennett's dislocation fracture combined with a trapezium fracture: Advantages of Islen K-wire fixation: A case report and literature review.

作者信息

Hamzaoui Amine, Ouda Khalil, Amahti Mouncef, Bouziane Walid, Jebari Jalal, Diene Oussman Laye, Sadougui Mohammed, Daoudi Abdelkrim

机构信息

Mohammed First University, Faculty of Medicine and Pharmacy, LAMCESM, Oujda, Morocco.

Department of Traumatology, Orthopedic Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco.

出版信息

Trauma Case Rep. 2025 Jul 9;59:101219. doi: 10.1016/j.tcr.2025.101219. eCollection 2025 Oct.

DOI:10.1016/j.tcr.2025.101219
PMID:40979834
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12446653/
Abstract

The combination of a trapezium fracture and a Bennett's fracture-luxation is rare in hand trauma, posing both diagnostic and therapeutic challenges. Anatomical reduction and stabilization of the thumb MP joint, as well as optimal management, are the keys to a good outcome. We present the case of a 20-year-old motorcyclist with this lesion, treated with closed reduction, using the Islen K-wire fixation. Clinical and radiological results were satisfactory at six months' follow-up.

摘要

大多角骨骨折与贝内特骨折脱位同时存在的情况在手外伤中较为罕见,这给诊断和治疗都带来了挑战。拇指掌指关节的解剖复位与稳定,以及优化管理,是取得良好预后的关键。我们报告了一名20岁患有此种损伤的摩托车手的病例,采用伊森克氏针内固定进行闭合复位治疗。六个月随访时的临床和影像学结果令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/a1ecb1949fef/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/ea9bb5eb5aa9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/2347aa3907fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/0c22a773220a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/e14f7aa7c4cc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/1232648494dc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/4add076723ec/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/a1ecb1949fef/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/ea9bb5eb5aa9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/2347aa3907fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/0c22a773220a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/e14f7aa7c4cc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/1232648494dc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/4add076723ec/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a6/12446653/a1ecb1949fef/gr7.jpg

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本文引用的文献

1
Bennett's fracture associated with fracture of Trapezium - A rare injury of first carpo-metacarpal joint.伴有大多角骨骨折的 Bennett 骨折——一种罕见的第一腕掌关节损伤。
World J Orthop. 2017 Aug 18;8(8):656-659. doi: 10.5312/wjo.v8.i8.656.
2
Carpometacarpal dislocation of the thumb associated with fracture of the trapezium.拇指腕掌关节脱位合并大多角骨骨折
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Dislocation of the carpometacarpal joint of the thumb associated with trapezium and Bennett's fractures.
拇指腕掌关节脱位合并大多角骨及贝内特骨折。
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[Simultaneous trapezium and Bennett's fractures: a case report and review of the literature].[同时发生的大多角骨骨折和贝内特骨折:一例病例报告及文献综述]
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6
Fractures of the base of the first metacarpal in children. Role of K-wire stabilisation.儿童第一掌骨基底骨折。克氏针固定的作用。
Chir Main. 1999;18(3):184-90. doi: 10.1016/s1153-2424(99)80002-8.
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Bennett's fracture combined with fracture of the trapezium. A report of three cases.贝内特骨折合并大多角骨骨折。三例报告。
J Hand Surg Br. 1993 Aug;18(4):523-6. doi: 10.1016/0266-7681(93)90164-b.
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[The movements of the 1st metacarpal joint].[第一掌指关节的运动]
Presse Med (1893). 1970 Apr 11;78(18):833-4.
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[Fractures of the trapezium. Mechanisms. Anatomo-pathology and therapeutic indications].[大多角骨骨折。机制。解剖病理学及治疗指征]
Rev Chir Orthop Reparatrice Appar Mot. 1988;74(5):454-65.
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Simultaneous trapezium and Bennett's fractures.大多角骨和贝内特骨折同时发生。
J Hand Surg Am. 1992 Jul;17(4):621-3. doi: 10.1016/0363-5023(92)90304-8.