Bilderback Karl K, Rayan Ghazi M
Hand Surgery Section, Department of Orthopaedic Surgery and Rehabilitation, Oklahoma University Medical Center, and Integris Baptist Medical Center, Oklahoma City, OK, USA.
J Hand Surg Am. 2002 Mar;27(2):344-6. doi: 10.1053/jhsu.2002.32080.
A patient with Dupuytren's disease with involvement of the palmar fascial complex and digital contracture is described. A vertical cord had developed in the transverse ligament of the palmar aponeurosis fibers and the underlying septa of Legueu and Juvara. The cord was composed of a pretendinous band, transverse ligament of the palmar aponeurosis, and septum of Legueu and Juvara. The cord was attached deeply in the soft tissue confluence of the sagittal band, palmar plate, and interpalmar plate ligament. Involvement of the transverse ligament of the palmar aponeurosis and septa of Legueu and Juvara in Dupuytren's disease is rare. Understanding of the normal and pathologic fascial anatomy explains their simultaneous involvement and is necessary for complete ablation of the diseased tissue.
本文描述了一名患有掌腱膜复合体受累及手指挛缩的杜普伊特伦挛缩病患者。在掌腱膜纤维的横韧带以及Legueu和Juvara的深层间隔中形成了一条垂直索带。该索带由一条假腱性带、掌腱膜横韧带以及Legueu和Juvara间隔组成。该索带深深附着于矢状带、掌板和掌间板韧带的软组织汇合处。掌腱膜横韧带以及Legueu和Juvara间隔在杜普伊特伦挛缩病中的受累情况较为罕见。了解正常和病理性筋膜解剖结构有助于解释它们的同时受累情况，并且对于彻底切除病变组织是必要的。
