RESUMEN
An isolated dislocation of the intermediate cuneiform bone is a rare midfoot injury. This paper reports a case of a 60 year old man who fell from a height with his foot in the plantar flexed position. An isolated dorsal dislocation of the intermediated cuneiform was confirmed. Good results were obtained after an open reduction and internal fixation with a Lisfranc screw and Kirschner wire.
Asunto(s)
Luxaciones Articulares , Pie , Huesos TarsianosRESUMEN
BACKGROUND: Carpometacarpal joint fracture dislocation of the second to fifth finger is a rare hand injury associated with high energy trauma. Due to severe swelling and overlapping of bones on the radiograph of wrist-hand, dislocations are missed. We reported a series of six patients with rare carpometacarpal joint fracture dislocation treated with open reduction. METHODS: We retrospectively studied six cases of carpometacarpal joint fracture dislocation. All patients were treated with open reduction and internal fixation with Kirschner wire. Functional assessment was done with Quick Disabilities of the Arm, Shoulder and Hand score (Quick DASH score) at regular intervals. RESULTS: Average Quick DASH score was improved from 75.76 to 1.9 from 6 weeks to 18 months of duration. Of the six patients, three patients had a Quick DASH score of 0 at the end of 18 months. CONCLUSIONS: Careful hand examination and radiographic assessment is necessary to avoid missed diagnosis of carpometacarpal joint fracture dislocation. Early open reduction and internal fixation lead to excellent recovery of hand function.
Asunto(s)
Adulto , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Articulaciones Carpometacarpianas/lesiones , Luxaciones Articulares/diagnóstico por imagen , Fijación Interna de Fracturas , Curación de Fractura , Traumatismos de la Mano/diagnóstico por imagen , Estudios RetrospectivosRESUMEN
PURPOSE: To describe the surgical treatment of the complex dorsal metacarpophalangeal dislocations and its results, emphasizing on the modified volar approach with A1 pulley release. MATERIALS AND METHODS: We experienced 6 cases of dorsal dislocation of the metacarpophalangeal joint. We performed open reduction with the modified volar approach described by Eaton and Dray. Postoperatively posteroanterior and lateral radiographs of the index finger metacarpophalangeal joint and metacarpophalangeal joint range of motion was followed. RESULTS: One case with a large osteochondral fracture was operated with volar and doral approach both. Overall end results were good without any significant restriction of motion and stability of the fingers. CONCLUSION: Modified volar approach with A1 pulley release is an excellent method for complex dorsal metacarpophalangeal dislocations without osteochondral fracture.
Asunto(s)
Benzodiazepinas , Luxaciones Articulares , Dedos , Articulación Metacarpofalángica , Rango del Movimiento ArticularRESUMEN
We treated 2 cases of simultaneous dorsal dislocation of interphalangeal joints in the 5th finger. One case was injured by herperextension during basketball, and treated by open reduction and K-wire fixation. Another case was injured by industrial accident, and treated by splint for 1 week.
Asunto(s)
Accidentes de Trabajo , Baloncesto , Luxaciones Articulares , Dedos , Articulaciones , Férulas (Fijadores)RESUMEN
A 17-year-old male experienced pain on his right outstretched hand due to a motor cycle accident. The diagnosis was obtained by clinical examination and simple radiography, closed reduction failed in the emergency room. Under general anesthesia, open reduction was performed by volar plate incision via the dorsal approach. A short arm splint was applied for 3 weeks and later ROM exercise produced a good result.