Trumble T E, Vedder N B, Benirschke S K
Department of Orthopaedics, University of Washington School of Medicine, Seattle 98195.
J Hand Surg Am. 1992 Sep;17(5):902-6. doi: 10.1016/0363-5023(92)90465-2.
From 1986 to 1990, twelve patients were treated for avulsions of the flexor digitorum profundus in either the ring or the long finger. Six patients had misleading x-ray films because the tendon had retracted farther than the fracture pattern had suggested. All of these patients had avulsion fractures from the palmar aspect of the distal phalanx. Although the classification of Leddy and Packer is very helpful in determining the prognosis for these injuries, the fracture patterns are not reliable in predicting the location of the retracted tendon end preoperatively. Therefore all flexor digitorum profundus tendon avulsions should be surgically repaired as soon as possible.
1986年至1990年期间，12例患者因环指或示指的指深屈肌腱撕脱伤接受治疗。6例患者的X线片具有误导性，因为肌腱回缩的距离比骨折形态所提示的更远。所有这些患者均有远节指骨掌侧的撕脱骨折。虽然Leddy和Packer的分类对于确定这些损伤的预后非常有帮助，但骨折形态在术前预测回缩肌腱断端的位置并不可靠。因此，所有指深屈肌腱撕脱伤均应尽早进行手术修复。
