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指屈肌腱鞘:环形滑车和膜性腱鞘的修复与重建

Digital flexor sheath: repair and reconstruction of the annular pulleys and membranous sheath.

作者信息

Seiler J G, Leversedge F J

机构信息

Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

J South Orthop Assoc. 2000 Summer;9(2):81-90.

PMID:10901645
Abstract

Rupture or transection of the digital pulley may necessitate repair or reconstruction to treat symptomatic flexor tendon bowstringing. When reconstruction is necessary, intrasynovial tendon grafts may provide superior gliding characteristics when compared with traditional extrasynovial tendon grafts. Lacerations of the membranous portion of the digital sheath and of noncritical annular pulleys usually do not require operative repair.

摘要

指腱鞘滑车破裂或横断可能需要进行修复或重建,以治疗有症状的屈肌腱弓弦状畸形。当需要重建时,与传统的滑膜外肌腱移植相比,滑膜内肌腱移植可能具有更好的滑动特性。指腱鞘膜部和非关键环形滑车的撕裂通常不需要手术修复。

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