Irreducible volar rotatory dislocation of the proximal interphalangeal joint.

Orthopaedic review Pub Date : 1994-11-01
K C Wang, K Y Hsu, C H Shih
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Abstract

Volar rotatory dislocation of the proximal interphalangeal (PIP) joint often cannot be reduced by closed manipulation because of interposition of soft tissues. In this case, the condyle of the proximal phalanx was trapped between the central slip and the lateral band. This case is reported to reemphasize the importance of recognizing serious injuries involving the soft tissues around the PIP joint. Deprival of its normal dorsal stabilizing forces can cause a loss of both static and dynamic joint support. Secondary scarring and contractures affect all damaged structures of the joint.

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指间关节近端不可还原性掌侧旋转脱位。
掌侧旋转脱位的近端指间关节(PIP)往往不能减少封闭操作,因为软组织的介入。在本例中,近端指骨的髁突被夹在中央滑脱和外侧腱束之间。本病例的报道再次强调了识别PIP关节周围软组织严重损伤的重要性。失去正常的背部稳定力会导致静态和动态关节支持的丧失。继发性瘢痕和挛缩影响关节的所有受损结构。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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