Pyne J I, Adams B D
Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington.
Clin Sports Med. 1992 Oct;11(4):833-50.
Hand tendon injuries may be caused by acute trauma or chronic overuse. Although these injuries are common in athletics, specific diagnoses can be difficult to make and are often delayed. Early diagnosis is the key to a good outcome. Most hand tendon injuries do well with nonoperative treatment when initiated early. Long-term disruption of the delicate balance of muscle forces in the hand will lead to secondary changes that are often difficult to correct. Delay in treatment of overuse injuries may produce chronic inflammation that does not respond to conservative care and requires operative management. A sound knowledge of hand anatomy, awareness of the differential diagnosis, and a high index of suspicion are needed for proper care of the athletic hand injury.
手部肌腱损伤可能由急性创伤或慢性过度使用引起。尽管这些损伤在体育运动中很常见，但具体诊断可能很困难，而且往往会延迟。早期诊断是取得良好治疗效果的关键。大多数手部肌腱损伤在早期开始非手术治疗时效果良好。手部肌肉力量微妙平衡的长期破坏会导致继发性改变，这些改变往往难以纠正。过度使用性损伤治疗的延迟可能会产生对保守治疗无反应的慢性炎症，需要手术治疗。为了妥善处理运动员的手部损伤，需要对手部解剖结构有扎实的了解、具备鉴别诊断意识以及高度的怀疑指数。
