간과된 무지 수근중수 관절 탈구에 대한 관절 성형술 - 증례 보고 - = Arthroplasty for Neglected Dislocation of the Carpometacarpal Joint of the Thumb - A Case Report -

다국어 초록 (Multilingual Abstract)

Pure dislocation of 1st carpometacarpal (CMC) joint is uncommon and may be missed initially. The neglected dislocation of 1st CMC joint can be reduced by open method and required capsular repair or ligament reconstruction for stability of 1st CMC joint. We experienced the patient with an old dislocation of 1st CMC joint which was recognized 9 months after the injury. Open reduction was impossible, therefore we treated by the trapezial excision and ligament reconstruction tendon interposition arthroplasty, resulting in painless functional joint.

국문 초록 (Abstract)

무지 수근중수 관절의 순수한 탈구는 드물며 수상 초기에 발견을 하지 못하여 진단이지연될 수 있다. 진단이 지연된 순수한 탈구는 대부분은 관혈적 방법으로 탈구의 정복이 가능하며, 관절낭 봉합술 또는 인대 재건술로 관절의 안정성을 유지할 수 있다.
그러나, 저자들은 수상 9개월이 경과한 무지 수근중수 관절의 탈구에서 관혈적 정복이 불가능한 증례를 경험하였다. 이에 대다각골 절제, 인대 재건술 및 개재 관절 성형술을 시행하여 만족스러운 결과를 얻었기에 보고하는 바이다.

참고문헌 (Reference)

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