The first metacarpal bone base fracture dislocation after bonesetting fixed method

Guo Zhonghua Ningxia institute of traditional Chinese medicine

China's traditional Chinese medicine to

        Hand the first metacarpal fractures are common, fracture happens at base. In daily life, because the fall when the thumb is longitudinal impact of violence, or fisting longitudinal hit the first metacarpal head is easy to cause such damage. Fracture is the feature of fracture line is oblique, metacarpal base inside of the form a triangle small bone block, small bone block remain in situ, but bone basal pushed backwards, and the lateral displacement of the rest. After injury characterized by local swelling, high up, pressure can make flat on time, let go after tall, thumb restricted movement. X all fractures can be clear.

        The first metacarpal bone base with often exist reset but easy to fracture dislocation. Due to the fracture belongs to intra-articular fractures, reduction and demand is high, only the bonesetting reduction and adopt the right after the fixed way that can achieve good effect.

        Reset is not difficult. Thumb restoration was given local anesthesia, traction, and the exhibition of the first metacarpal, thumb apply to palm side with ulnar side coping fracture with correct angles to the radial side and back side, the metacarpal basement flat. Note should make the thumb outreach, and don't put the first metacarpal bone outreach, or aggravate bone in adduction, dislocation mandibular reconstruction.

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