TOTBİD Dergisi

TOTBİD Dergisi

2019, Cilt 18, Sayı, 1     (Sayfalar: 052-066)

Traumatic dislocations of hand and wrist

Kemal Özaksar 1, Sertan Hancıoğlu 2

1 EMOT, El Mikrocerrahi Ortopedi ve Travmatoloji Hastanesi
2 SBÜ Tepecik Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, İzmir

DOI: 10.14292/totbid.dergisi.2019.07
Görüntüleme: 284
İndirme : 1957

The skeleton of the human hand and wrist consists of many bones and joints with different characteristics, which gives us the ability to do daily activities. According to their localisations hand and wrist joints can be shortly classified as interphalangeal, metacarpophalangeal, carpometacarpal, carpal and radiocarpal joints. While hand joint dislocations most commonly occur from sport injuries and from simple fall, causes of wrist joint dislocations are mostly high-energy traumas. Therefore, wrist dislocations can be a part of multi-trauma. To evaluate these dislocations precisely, one needs to have a detailed understanding of hand and wrist anatomy. These dislocations should be evaluated as a whole; ligaments, tendons, susceptible to injury, and possible fractures should be taken in consideration. In order to gain early range of motion, appropriate treatment should be started as soon as possible. If reduction can not be achieved by closed techniques, surgical treatment should be chosen. Complications of hand and wrist joint dislocations include: degenerative arthritis, osteonecrosis, and stiffness that may arise from repeated attempts at closed reduction, open reduction of traumatic cases, or prolonged dislocation.

Anahtar Kelimeler : finger; wrist; joint; dislocation