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頁籤選單縮合
題 名 | 掌指關節與指間關節脫臼之診斷、復位與整體治療=The Diagnosis, Restoration to Its Normal Position and an Integrated Therapy about the Dislocation of Etacarpophalangeal Joint and Proximal Interphalangeal Joint |
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作 者 | 盧文瑞; | 書刊名 | 中醫骨傷科醫學雜誌 |
卷 期 | 6 2007.12[民96.12] |
頁 次 | 頁24-31 |
分類號 | 413.423 |
關鍵詞 | 掌指關節; 指間關節; 脫臼; 整復手法; 小夾板固定法; 後遺症; Metacarpophalangeal joint; Proximal interphalangeal joint; Dislocation; A proper method of joint adjustment and restoration to its normal position; Fixation method of using a small splint; Sequela; |
語 文 | 中文(Chinese) |
中文摘要 | 掌指關節與指間關節的損傷是很常見的部位,尤其是學生在學校活動多,易造成指部的運動傷害,年輕人慣稱之「吃蘿蔔乾」。指關節在全身的關節而言,算是較細小的的屈戍關節,所以韌帶較細、關節囊也較薄弱、無法承受突如其來的瞬間暴力、因此很容易造成指關節的挫傷、韌帶撕裂、斷裂;甚至脫臼的傷害。掌指關節與指間關節脫位常因接球或跌倒,甚至籃板下搶球而互相擦撞等因素,由於過伸暴力或側向暴力所致,掌指關節(MCP)脫位以拇掌關節脫位多見,並以背側脫位為最多。而指間關節的脫位在近側節(PIP)常由於過伸或側方成角的暴力而引發。只要指關節已形成脫臼的傷害,診斷時均須考慮到關節囊破損、韌帶撕裂、或撕脫性骨折的情況。這類型的重度指關節損傷易形成痼疾;在許多醫生及傷科從業人員均認為指間關節脫位功能恢復緩慢,常需半年以上才能恢復,而且常徒留難屈伸、指節腫脹增粗、強硬、疼痛難癒的後遺症。近年來筆者除了保持中醫傳統輕緩柔和的關節復位法外,並以屈彎角度做指骨骨折、指間脫位的固定包紮法、得到很好的治效,不僅整復後關節囊修復快、腫脹程度也大幅減小、而且屈彎的功能也恢復迅速。再加上藥物的調理,更能使傷指早日康復,大大提升民眾對中醫骨傷科的信賴度。 |
英文摘要 | The injury of Metacarpophalangeal joint and Proximal interphalangeal joint very often happens, especially in the school, where students have many activities, which cause the sport injuries of fingers easily. This kind of injury is used to being called by young people "eating the dried turnip" Proximal interphalangeal joint is a tinier "Qu Shu joint" for all joints of the whole body, so its ligament is thinner and its joint capsule is too weak to bear the sudden coming violence. Therefore the Proximal interphalangeal joint is injured easily, the ligament is torn and ruptured, even the harm of dislocation happens. Because of receiving a ball, falling down or even hitting each other by grabbing a basketball under the basket, Metacarpophalangeal joint and Proximal interphalangeal joint are often dislocated. In all kinds of the dislocation of Metacarpophalangeal joint, the dislocation of thumb-plam joint is more comman, especially the dislocation of the backside. And the dislocation of Proximal interphalangeal joint often happens near the side joint because of the violence coming from side direction. So long as there is already the injury of dislocation of Proximal interphalangeal joint, we must consider the situations:damage of the joint capsule, tearing of the ligament or avulsion fracture while diagnosing. This kind of severe damage of Proximal interphalangeal joint will become a chronic illness easily. For many doctors and therapists, they consider that the function of Proximal interphalangeal joint is restored very slowly (usually it needs take half a year) when it is dislocated, and there will be all kinds of sequela like the difficulty of bending and stretching, the intumescence of the Proximal interphalangeal joint, the joint increasing thick and tough and being in great pain. Latterly I got a real good result of cure by keeping using not only the soft and tende joint-restoration method of traditional Chinese medicine, but also the fixation-binding method of the fracture and the dislocation by stretching-bending an angle. After adjustment and restoration the joint capsule not only restores quickly, its swelling is reduced, but also the function of stretching and bending restores rapidly. In addition to the treatment of the chinese herb medicine, the hurt finger could be restored to health soon. Therefore the mass population will have great confidence in the bone traumatology of Chinese medicine. |
本系統中英文摘要資訊取自各篇刊載內容。