Catalano Louis W, Skarparis Andreas C, Glickel Steven Z, Barron O Alton, Mulley Debra, Lane Lewis B, Malley Debby
C.V. Starr Hand Surgery Center, Roosevelt Hospital, New York, NY 10019, USA.
J Hand Surg Am. 2003 May;28(3):448-52. doi: 10.1053/jhsu.2003.50084.
To our knowledge, there are no reports in the literature regarding treatment of chronic, posttraumatic proximal interphalangeal (PIP) joint hyperextension deformities with flexor digitorum superficialis tenodesis. The purpose of this study was to describe the surgical treatment and results of flexor digitorum superficialis tenodesis for the treatment of chronic, posttraumatic PIP joint hyperextension deformities.
Twelve patients were reviewed retrospectively and re-examined at a mean follow-up period of 35 months (range, 6-108 mo). Evaluation included completion of a Disabilities of the Arm, Shoulder, and Hand questionnaire and range of motion (ROM) measurements.
There were 5 excellent, 5 good, and 2 fair results. Five patients had a residual flexion contracture at the PIP joint of 5 degrees to 15 degrees, although this did not create any functional impairment as determined by responses to the Disabilities of the Arm, Shoulder, and Hand questionnaire at follow-up evaluation. The 2 patients with fair results had postoperative PIP flexion contractures of 30 degrees and 60 degrees. All 12 patients returned to their previous occupations and recreational activities.
Flexor digitorum superficialis tenodesis is an effective method with predictable results for the treatment of chronic, traumatic hyperextension deformities of the PIP joint.
据我们所知，文献中尚无关于采用指浅屈肌腱固定术治疗慢性创伤后近端指间（PIP）关节过伸畸形的报道。本研究的目的是描述采用指浅屈肌腱固定术治疗慢性创伤后PIP关节过伸畸形的手术治疗方法及结果。
对12例患者进行回顾性分析，并在平均35个月（范围6 - 108个月）的随访期进行复查。评估内容包括完成上肢、肩部和手部功能障碍问卷以及测量活动范围（ROM）。
结果为优5例、良5例、可2例。5例患者PIP关节残留5度至15度的屈曲挛缩，不过根据随访评估时上肢、肩部和手部功能障碍问卷的回答，这并未造成任何功能损害。2例结果为可的患者术后PIP关节屈曲挛缩分别为30度和60度。所有12例患者均恢复了之前从事的职业和娱乐活动。
指浅屈肌腱固定术是治疗慢性创伤性PIP关节过伸畸形的一种有效方法，结果可预测。
