Luxación trapecio-metacarpiana aislada: a propósito de un caso.

Chiappe, ROSELLÓ AÑÓN, VALVERDE VÁZQUEZ, SANGÜESA NEBOT, DOMÉNECH FERNÀNDEZ
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Abstract

Isolated trapezius-metacarpal dislocation is a rare lesion. Although it is usually easily reducible, the high risk of secondary instability poses a major challenge in the management of this type of injury. There is controversy over what the treatment of choice is. Most of the authors opt for conservative treatment by closed reduction and immobilization with the antebrachial splint, using the stabi-lization of the joint with Kirschner needles (AK) if necessary. On the other hand, surgical treat-ment with ligamentoplasty has also been described. The objective of this paper is to present a clinical case of trapezius-metacarpal dislocation and its definitive treatment with repair with suture anchors (Mini TightRope), as well as to review the literature.
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孤立斜方-掌骨脱位:关于一个病例。
孤立的斜方肌-掌骨脱位是一种罕见的病变。虽然它通常很容易复位,但继发性不稳定的高风险对这类损伤的处理构成了重大挑战。关于选择的治疗方法存在争议。大多数作者选择保守治疗,闭式复位和前臂夹板固定,必要时使用克氏针(AK)固定关节。另一方面,手术治疗的韧带成形术也有描述。本文的目的是报道一例斜方肌-掌骨脱位的临床病例,以及用缝合锚钉(Mini TightRope)修复斜方肌-掌骨脱位的最终治疗方法,并复习文献。
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