{"title":"髓内骨折髓内复位术后使用铃木钉和橡胶牵引进行早期主动活动:病例报告","authors":"Arild Aure, Rikard Ohlsson, Ingvild Bjåland Østerhus","doi":"10.2106/JBJS.CC.24.00241","DOIUrl":null,"url":null,"abstract":"<p><strong>Case: </strong>A 39-year-old man fell during a mountain hike and injured his left, nondominant ring finger, presenting with swelling, tenderness, and crepitus of the proximal interphalangeal joint. A computed tomography scan demonstrated a displaced intra-articular impaction fracture of the middle phalanx base. Surgery was performed with a combination of intramedullary reduction by K-wire and dynamic external fixation, using a Suzuki frame, to allow early active motion and prevent collapse of the reduced fragments. At 1-year follow-up, the clinical and radiological results were excellent.</p><p><strong>Conclusion: </strong>The impaction fracture of our patient was successfully treated with Suzuki pins and rubber after intramedullary reduction by K-wire.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"14 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Early Active Motion by Suzuki Pins and Rubber Traction After Intramedullary Reduction of an Impaction Fracture: A Case Report.\",\"authors\":\"Arild Aure, Rikard Ohlsson, Ingvild Bjåland Østerhus\",\"doi\":\"10.2106/JBJS.CC.24.00241\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Case: </strong>A 39-year-old man fell during a mountain hike and injured his left, nondominant ring finger, presenting with swelling, tenderness, and crepitus of the proximal interphalangeal joint. A computed tomography scan demonstrated a displaced intra-articular impaction fracture of the middle phalanx base. Surgery was performed with a combination of intramedullary reduction by K-wire and dynamic external fixation, using a Suzuki frame, to allow early active motion and prevent collapse of the reduced fragments. At 1-year follow-up, the clinical and radiological results were excellent.</p><p><strong>Conclusion: </strong>The impaction fracture of our patient was successfully treated with Suzuki pins and rubber after intramedullary reduction by K-wire.</p>\",\"PeriodicalId\":14748,\"journal\":{\"name\":\"JBJS case connector\",\"volume\":\"14 3\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JBJS case connector\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2106/JBJS.CC.24.00241\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JBJS case connector","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2106/JBJS.CC.24.00241","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
病例:一名 39 岁的男子在登山时不慎摔伤了左手无名指,表现为近端指间关节肿胀、压痛和吱吱作响。计算机断层扫描显示,他的中指骨基部发生了关节内移位性撞击骨折。手术采用了K线髓内复位和动态外固定相结合的方法,并使用了铃木框架,以允许早期主动活动并防止复位的骨折片塌陷。随访一年后,临床和放射学结果均为良好:结论:在使用 K 型钢丝进行髓内复位后,我们使用铃木钢钉和橡胶成功治疗了患者的撞击性骨折。
Early Active Motion by Suzuki Pins and Rubber Traction After Intramedullary Reduction of an Impaction Fracture: A Case Report.
Case: A 39-year-old man fell during a mountain hike and injured his left, nondominant ring finger, presenting with swelling, tenderness, and crepitus of the proximal interphalangeal joint. A computed tomography scan demonstrated a displaced intra-articular impaction fracture of the middle phalanx base. Surgery was performed with a combination of intramedullary reduction by K-wire and dynamic external fixation, using a Suzuki frame, to allow early active motion and prevent collapse of the reduced fragments. At 1-year follow-up, the clinical and radiological results were excellent.
Conclusion: The impaction fracture of our patient was successfully treated with Suzuki pins and rubber after intramedullary reduction by K-wire.
期刊介绍:
JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.