关键词: Carpometacarpal Dislocation Lunate Metacarpophalangeal Perilunate dislocation Thumb

来  源:   DOI:10.1016/j.tcr.2023.100900   PDF(Pubmed)

Abstract:
Herein we present a case of four simultaneous dislocations of the hand resulting from a motorcycle accident in a young man. In this case, the 1st CMC, MCP, and IP joints of the right hand were dislocated along with right perilunate dislocation. Perilunate dislocation was treated with open reduction and internal fixation. Close reduction of IP and CMC was done and CMC was fixed by pins. MCP dislocation was treated by open reduction and pinning in addition to collateral ligament and capsular repair. In follow-up excellent functional activity and range of motion were observed.
摘要:
在这里,我们介绍了一个年轻人的摩托车事故导致手同时发生四次脱臼的情况。在这种情况下,第一届CMC,MCP,右手的IP关节脱位并伴有右骨周脱位。采用切开复位内固定术治疗外耳脱位。进行IP和CMC的紧密还原,并通过销钉固定CMC。除副韧带和囊膜修复外,还通过切开复位和钉扎治疗MCP脱位。在随访中,观察到优异的功能活性和运动范围。
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