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儿童陈旧性示指掌指关节脱位的治疗(附18例报告)

TREATMENT OF OLD DISLOCATION OF METACARPOPHALANGEAL JOINT OF INDEX FINGER IN CHILDREN (REPORT OF 18 CASES)

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【作者】 张克亮凌彤韩金豹张煜

【Author】 Zhang Keliang Ling Tong Han Jinbao Zhang Yu Department of Orthopedics, The Third Affiliated Hospital

【机构】 河北医学院第三医院骨科河北医学院第三医院骨科

【摘要】 对18例儿童外伤性示指掌指关节脱位患者进行了治疗观察,分析了导致难于闭合复位的原因;介绍了示指掌指关节脱位后所造成的解剖变异;经切开复位后,进行了随访,结果提示:功能恢复良好,但偶可造成骨骼的发育异常。

【Abstract】 The old metacarpophatangeal joint dislocation of index finger in 18 children were reported in this paper. In respect to etiology of this kind of dislocation, good results are not easily obtained by closed reduction. Consequently, all of the patients experienced unsuccessful reducation before they came to our hospital for operations. Normal function and anatomical structure of the metacarpophalangeal joint of index finger, the various deformity resulted from dislocation and the causes of difficult closed-reduction were expounded in this article. On follow-up, all cases were cured by means of operation with good functional recovery. Operation, however, may possibly lead to abnormal development of the epiphysis, which merits our attention

【关键词】 指关节损伤关节疾病外科手术方法康复儿童
【Key words】 finger jointinjuriessurgery methodsrehaliditationchildren
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