Schöffl Volker Rainer, Schöffl Isabelle
Department of Trauma and Orthopaedic Surgery, Klinikum Bamberg, Bamberg, Germany.
J Hand Surg Am. 2006 Apr;31(4):647-54. doi: 10.1016/j.jhsa.2006.02.011.
Closed traumatic ruptures of finger flexor tendon pulleys began to be recognized specifically over the past several decades. This injury, although rare in the general population, is seen more commonly in rock climbers. This article analyzes this type of injury and the current diagnostic and therapeutic criteria. Ultrasound and magnetic resonance imaging are used to differentiate between a pulley strain, partial rupture, complete rupture, or multiple ruptures. Grade I to III injuries (strains, partial rupture, single ruptures) are treated conservatively with initial immobilization and early functional therapy under pulley protection. Grade IV injuries (multiple ruptures) require surgical repair.
手指屈肌腱滑车的闭合性创伤性断裂在过去几十年才开始被明确认识。这种损伤在普通人群中虽罕见，但在攀岩者中更常见。本文分析了这类损伤以及当前的诊断和治疗标准。超声和磁共振成像用于区分滑车拉伤、部分断裂、完全断裂或多处断裂。I至III级损伤（拉伤、部分断裂、单一断裂）采用保守治疗，初期制动，并在滑车保护下尽早进行功能治疗。IV级损伤（多处断裂）需要手术修复。
