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摘要:
Background: Acute dislocation of the thumb carpometacarpal (CMC) joint is a rare and challenging injury, and its treatment remains controversial. The purpose of the study was to evaluate the clinical outcome after surgical repair of the dorsal capsulo-ligamentous complex. Materials and methods: Eight patients with a mean age of 39.8 years (range, 23 - 56 years) treated for the thumb CMC joint were treated in our hospital between 2008 and 2018. The ruptured dorsal capsulo-ligamentous complex was repaired using suture anchors in all patients, and the joint was immobilized with a Kirschner wire pinning and splint for 3 weeks. The clinical outcome was assessed by measuring the range of motion of the thumb CMC joint and the Japanese Society for Surgery of the Hand version of the Quick Disability of the Arm, Shoulder, and Hand (Q-DASH-JSSH) score. Results: The mean radial abduction of the thumb CMC joint was 66°, and the volar abduction was 63°. The mean Q-DASH-JSSH score was 4.8 (range, 0 - 15.6). There were no cases of infection, nerve disturbance, or osteoarthritis. Anatomical reduction was observed in seven patients at the final follow-up and in a rugby football player at 6 months of follow-up;however, subluxation of the thumb CMC joint at 12 months of follow-up due to reinjury was observed. Conclusion: Surgical repair of the dorsal capsulo-ligamentous complex with suture anchors is a reliable and simple treatment for acute unstable dislocation of the thumb CMC joint.
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篇名 Surgical Repair of Dorsal Capsulo-Ligamentous Complex for Dislocation of the Thumb Carpometacarpal Joint
来源期刊 矫形学期刊(英文) 学科 医学
关键词 THUMB CARPOMETACARPAL Joint DISLOCATION DORSAL Capsulo-Ligamentous COMPLEX Surgical Repair Suture ANCHORS
年,卷(期) 2019,(8) 所属期刊栏目
研究方向 页码范围 145-151
页数 7页 分类号 R6
字数 语种
DOI
五维指标
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研究主题发展历程
节点文献
THUMB
CARPOMETACARPAL
Joint
DISLOCATION
DORSAL
Capsulo-Ligamentous
COMPLEX
Surgical
Repair
Suture
ANCHORS
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
矫形学期刊(英文)
月刊
2164-3008
武汉市江夏区汤逊湖北路38号光谷总部空间
出版文献量(篇)
366
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0
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