Tan Virak, Mundanthanam George, Weiland Andrew J
Division of Hand & Microvascular Surgery, Departmert of Orthopedics, UMDNJ--The New Jersey Medical School, Newark, New Jersey 07103, USA.
Am J Orthop (Belle Mead NJ). 2005 Oct;34(10):505-7.
We report a case of traumatic simultaneous disruption of both finger flexor tendons in a professional athlete. The novelties in this report are (1) the location of the rupture (FDS at midsubstance and FDP at insertion) and (2) the proposition that a normal but diminutive FDS tendon is a contributing factor in the rupture. We recommend that simultaneous rupture of the normal flexor tendons be treated in a similar manner as tendon lacerations. Primary repair, if possible, is the treatment of choice in these acute injuries. Tendon grafting should be reserved for subacute or chronic cases in which restoration of active finger flexion is needed.
我们报告了一例职业运动员手指屈肌腱同时发生创伤性断裂的病例。本报告的新颖之处在于:(1)断裂位置(指浅屈肌在肌腹中部,指深屈肌在止点处);(2)提出正常但细小的指浅屈肌腱是断裂的一个促成因素。我们建议,正常屈肌腱同时断裂的治疗方式应与肌腱撕裂伤类似。对于这些急性损伤,若有可能,一期修复是首选治疗方法。肌腱移植应留用于需要恢复手指主动屈曲功能的亚急性或慢性病例。