Le Viet D
Unité de chirurgie de la main Hôpital de la Croix-Rouge, Paris.
Rev Prat. 1994 Nov 15;44(18):2434-7.
Fracture and luxation of the long fingers are particularly frequent in hand trauma. Untreated or poorly treated, they may leave highly disabling sequelae. The aim of treatment is two-fold: to repair the anatomical lesion and to obtain movement as rapidly as possible, the only means of avoiding joint stiffening. It is important to underline that the metacarpo-phalangeal joints usually stiffen in extension and that the proximal interphalangeal joints on the contrary stiffen in flexion. Thus, in case of immobilisation of the hand, an attempt should be made to obtain an "intrinsec plus" immobilisation, that is, with the metacarpo-phalangeal joints in flexion and the interphalangeal joints in extension.
长手指的骨折和脱位在手部创伤中尤为常见。若未经治疗或治疗不当，可能会留下严重致残的后遗症。治疗目的有两个：修复解剖损伤并尽快恢复活动，这是避免关节僵硬的唯一方法。需要强调的是，掌指关节通常在伸直位僵硬，而近端指间关节则相反，在屈曲位僵硬。因此，在手固定的情况下，应尝试获得一种“内在加”固定，即掌指关节处于屈曲位，指间关节处于伸直位。
