metacarpophalangeal dislocation
#metacarpophalangeal dislocation
-dorsal이 흔함
-Simple vs Complex
complex는 closed reduction 불가, open reduction 필요
나의 잘못된 reduction 기술로 simple dislocation을 complex로 만들 수도 있음
-reduction 방법
Reduction is performed by flexing the wrist to relax the flexor tendon and then applying pressure over the dorsum of the proximal phalanx in a distal and volar direction(tintinalli 19th)
*절대 interphalangeal joint처럼 longitudinal traction하게 잡아당기지 말자. simple을 complex로 만듬
> 위 사진처럼
1)wrist flexion
2) proximal phalanx에 직접 압박
#thumb metacarpophalangeal dislocation
-dorsal이 흔함
-reduction 방법
당기기 금지
1)wrist flexion
2) abduction
3) proximal phalanx를 직접 distal 부위로 압박
Refrence
https://doi.org/10.22502/jlmc.v1i2.33
tintinalli 19th
https://doi.org/10.1016/B978-0-323-76180-2.00077-5
Skeletal Trauma of the Upper Extremity, 2022, Pages 600-610
참고자료