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metacarpophalangeal dislocation

오찌507 2023. 12. 12. 13:20

#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

https://www.aafp.org/pubs/afp/issues/2013/0201/p160.html