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拇指腕掌关节脱位伴同侧桡骨远端骨折

Carpometacarpal dislocation of the thumb associated with ipsilateral fracture of the distal radius.

作者信息

Milankov M, Miljkovic N

机构信息

Department of Orthopedic Surgery and Traumatology, University of Novi Sad, Yugoslavia.

出版信息

J Orthop Trauma. 1997 May;11(4):311-4. doi: 10.1097/00005131-199705000-00017.

Abstract

An acute carpometacarpal (CMC) dislocation of the thumb is itself an extremely rare injury, but one associated with a fracture of the distal radius has never before been reported. In our case, the fracture of the distal radius was treated by closed reduction and immobilization with a plaster cast, whereas the dislocation of the CMC of the thumb was treated with closed reduction, percutaneous fixation with Kirschner wires, and immobilization with a plaster cast. At the patient's two-year follow-up examination, the distal radius fracture displayed successful functional and radiographic results, but a subluxation of the CMC joint was evident.

摘要

拇指急性腕掌关节(CMC)脱位本身是一种极为罕见的损伤,但伴有桡骨远端骨折的情况此前从未有过报道。在我们的病例中,桡骨远端骨折通过闭合复位并用石膏固定进行治疗,而拇指CMC脱位则采用闭合复位、克氏针经皮固定及石膏固定治疗。在患者的两年随访检查中,桡骨远端骨折在功能和影像学方面显示出成功的结果,但CMC关节半脱位明显。

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