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不可复位的指骨骨骺骨折脱位。病例报告。

An irreducible phalangeal epiphyseal fracture-dislocation. A case report.

作者信息

Keene J S, Engber W D, Stromberg W B

出版信息

Clin Orthop Relat Res. 1984 Jun(186):212-5.

PMID:6723146
Abstract

A 20-month-old infant sustained an irreducible epiphyseal fracture-dislocation of a proximal interphalangeal joint. The dorsal dislocation of the joint was associated with a 90 degree rotational displacement (Salter-Harris Type I fracture) of the epiphysis of the middle phalanx. This injury, which seems not to have been described previously, required open reduction through both volar and dorsal incisions because the intact collateral ligaments and extensor central slip did not permit adequate distraction of the joint.

摘要

一名20个月大的婴儿发生了近端指间关节不可复位的骨骺骨折脱位。关节背侧脱位伴有中节指骨骨骺90度旋转移位(Salter-Harris I型骨折)。这种损伤似乎此前未曾有过描述,由于完整的侧副韧带和伸肌中央束不允许关节充分牵开,因此需要通过掌侧和背侧切口进行切开复位。

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