Kilgore E S, Newmeyer W L, Brown L G
J Trauma. 1976 Jun;16(6):481-7. doi: 10.1097/00005373-197606000-00007.
This paper deals with the uncommon and frequently unrecognized problem of trapped dislocations of the proximal interphalangeal joint. These may be dorsal or volar. Soft tissue forming a noose, or interposed in the joint, is implicated. There is injury to one or more of the following structures: 1) extensor mechanism, 2) collateral ligament, 3) volar plate, 4) flexor tendon sheath, and 5) skin (compound dislocations). Open reduction and appropriate soft tissue repair are mandatory the essential features of diagnosis and management are discussed and four illustrative cases are presented.
本文探讨近端指间关节嵌顿性脱位这一罕见且常未被识别的问题。这些脱位可能是背侧或掌侧的。形成套索或夹在关节内的软组织与之相关。以下一种或多种结构会受到损伤：1）伸肌装置，2）侧副韧带，3）掌板，4）屈肌腱鞘，以及5）皮肤（复合脱位）。必须进行切开复位和适当的软组织修复，讨论了诊断和治疗的基本特征，并给出了四个说明性病例。
