Alsemgeest M A, van Ooijen B
Afd. Cardiologie, Ziekenhuis Eemland, locatie De Lichtenberg, Amersfoort.
Ned Tijdschr Geneeskd. 1998 Jan 31;142(5):251-2.
A woman aged 36 sustained a dislocation of the metacarpophalangeal joint of the index finger occurred during a volleyball match. It appeared to be a complex dislocation with entrapment of soft tissue, which is rare. Open reduction with a volar approach gave a good result. The postoperative course was uneventful. Adequate treatment necessitates rapid diagnosis. The herniation of the head of the metacarpal bone through the volar surface precluded closed repositioning. The palmar surgical approach is difficult but gives good anatomical results. The dorsal approach is safer but more laborious. Rapid mobilization is necessary for a good long-term result.
一名36岁女性在排球比赛中发生食指掌指关节脱位。这似乎是一种伴有软组织嵌顿的复杂脱位，较为罕见。采用掌侧入路切开复位效果良好。术后过程顺利。充分的治疗需要快速诊断。掌骨头部经掌侧表面突出使得无法进行闭合复位。掌侧手术入路困难，但能获得良好的解剖学效果。背侧入路更安全但操作更费力。为获得良好的长期效果，快速活动是必要的。
