頁籤選單縮合
題 名 | Recurrent Isolated Carpometacarpal Joint Dislocation of the Thumb=復發性拇指基底關節脫臼 |
---|---|
作 者 | 劉貴實; 林忠國; 呂旭彥; | 書刊名 | 中華民國整形外科醫學會雜誌 |
卷 期 | 9:2 2000.06[民89.06] |
頁 次 | 頁128-133 |
分類號 | 416.615 |
關鍵詞 | 拇指基底關節脫臼; Carpometacarpal dislocation; Thumb; Open reduction; Capsuloraphia; |
語 文 | 英文(English) |
中文摘要 | 拇指基底關節脫臼是一種少見的傷害,一般認為的機轉是急性的外傷,來自於當拇指彎曲時向虎口的外力造成拇指基底關節韌帶的傷害。我們呈現的是另外一種機轉。這個病人沒有手部急性外傷的過去史,但是因為工作的關係需要經常搬運重物。他接受閉鎖性復位術加上石膏固定與經皮骨釘固定的治療但是都沒效。此不穩定關節有著復發性橈側和背側的脫臼與缺乏正常的關節韌帶有關。我們使用一部份的橈側屈腕肌腱來重建此關節的韌帶。結果顯示這是一種簡單且有效的方法。這個病人可恢復正常工作並且沒有再復發拇指基底關節脫臼或不穩定。 |
英文摘要 | Carpometacarpal (CMC) joint dislocation of the thumb is a rare injury caused by axial forces applied to the flexed thumb. A different kind of mechanism is introduced in this case report of a patient with chronic trauma at the work place. The absence of normal capsular ligaments caused recurrent dorsoradial displacement. The failure of conservative treatment including thumb spica casting and percutaneous pining required an alternate choice of treatment in this case. The ligaments of the first CMC joint showed severe deterioration due to chronic trauma. We modified the Eaton's procedure using a more effective and simpler method to treat recurrent dorsoradial displacement of the first CMC joint. Ligament reconstruction with a portion of flexor carpi radialis (FCR) tendon provided an excellent procedure to treat recurrent isolated dislocation of the carpometacarpal joint of the thumb. |
本系統中英文摘要資訊取自各篇刊載內容。