• 作者：J. Castellanos ; ^{20744jcr@comb.es} ; L. Veras del Monte
• 关键词：Luxació ; n aguda ; Articulació ; n trapeciometacarpiana ; Tratamiento conservador
• 刊名：Revista Espa帽ola de Cirug铆a Ortop茅dica y Traumatolog铆a
• 出版年：2009
• 期刊代码：pca311_18884415
• 类别：med
• 出版时间：September-October 2009
• 卷：53
• 期：5
• 页码：317-319
• 文件大小：166 K

Purpose

To assess the results of the use of conservative treatment, consisting of closed reduction followed by scaphoid-type forearm cast immobilization, to treta acute dislocations of the trapeziometacarpal joint.

Materials and methods

Seven patients were treated, 4 males and 3 females, who had suffered an acute traumatic dislocation of the trapeziometacarpal joint.

All patients were subjected to closed reduction followed by immobilization with a scaphoid-type forearm cast for a period of 6 weeks. In 2 cases additional stabilization was required by means of K-wires. Mean follow-up was 36鈥?9 months.

Results

Results were satisfactory in all patients. At the last follow-up visit none of them presented with symptoms, nor any residual dislocations were observed radiographically. All patients went back to their pre-accident activities.

Discussion

Trapeziometacarpal dislocations are an unusual occurrence. Closed reduction followed by immobilization (combined with K-wires in cases of residual instability further to reduction) offers satisfactory results.