Hsu K Y, Wu C C, Wang K C, Shih C H
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taiwan, Republic of China.
J Trauma. 1993 Sep;35(3):479-83. doi: 10.1097/00005373-199309000-00025.
Multiple carpometacarpal dislocations, with fractures of the trapezium and hook of the hamate carpals are rare. We report an exceedingly rare constellation of these injuries. The routine use of a carpal tunnel view is advised to identify the associated avulsion fractures with multiple carpometacarpal dislocations. We found little on this subject in existing papers. It is important because painful nonunion of avulsion fractures and compressive ulnar or median neuropathy may be ignored and thus not receive suitable treatment.
多掌腕关节脱位合并大多角骨和钩骨骨折较为罕见。我们报告了一组极其罕见的此类损伤。建议常规使用腕管位来识别多掌腕关节脱位相关的撕脱骨折。我们在现有文献中几乎未找到关于此主题的内容。这很重要,因为撕脱骨折的疼痛性骨不连以及尺神经或正中神经受压性神经病变可能被忽视,从而得不到适当的治疗。