孤立性第5掌关节背脱位;漏伤

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2022-08-15 DOI:10.33706/jemcr.1108021
Ümit Aygün, A. Yazici
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引用次数: 0

摘要

引言:手腕部第五腕掌关节脱位是一种非常罕见且容易被忽视的损伤。对于这种类型的损伤,如果治疗不当,会导致手部出现严重的功能问题,通常使用封闭式方法进行治疗。在这项研究中,我们提出了一个病例的骨折脱位的第五CMC关节。病例:一名25岁的患者因手腕疼痛入院,但没有注意到第5节CMC关节骨折脱位。在患者的随访中进行了诊断,并采用闭合法复位并用K线固定。在患者的对照中没有遇到严重问题。结论:未确诊的第5节CMC关节脱位破坏了手的横弓和纵弓,因此患者的抓握功能较弱且疼痛。前后视图和侧视图的放射学检查结果可能不清楚,如果有疑问,可以获得额外的图像。
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Isolated dorsal dislocation of the 5th carpometacarpal joint; a missed injury
Introduction: 5th carpometacarpal (CMC) joint dislocations of the wrist region are very rare and easily overlooked injuries. In this type of injury, which causes serious functional problems in the hand if not treated appropriately, closed methods are generally used in the treatment. In this study, we present a case with fracture-dislocation of the 5th CMC joint. Case: Fracture-dislocation of the 5th CMC joint of a 25-year-old patient who was admitted to the emergency department due to wrist pain was not noticed. The diagnosis was made during the follow-up of the patient, and the joint was reduced with closed method and fixed with a K wire. No serious problems were encountered in the patient's controls. Conclusion: Undiagnosed 5th CMC joint dislocation disrupts the transverse and longitudinal arches of the hand, so the patient has a weak and painful gripping function. Radiological findings may be unclear on anterior-posterior and lateral views, and additional images may be obtained if in doubt.
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