Winckler S, Rieger H, Grünert J, Neumann H S
Klinik und Poliklinik für Unfall- und Handchirurgie Westfälischen Wilhelms-Universität Münster.
Zentralbl Chir. 1991;116(22):1273-89.
This study covers treatment and after-treatment of 126 extensor tendon injuries of the DIP-joint in 125 patients over a period of 4 years. Tendon injuries were classified into 4 types and the final results were evaluated using a modified Riedeberger and Zeumer scale. In recent subcutaneous tendon injuries conservative therapy is indicated, depending on the primary extension deficit (less than 20 degrees modified Stack splint, greater than 20 degrees Mommsen plaster of Paris or special dressing). Chip fractures should be stabilized by pull-out suture.
本研究涵盖了4年间125例患者的126例远侧指间关节伸肌腱损伤的治疗及治疗后情况。肌腱损伤分为4种类型,并使用改良的里德贝格尔和佐默量表评估最终结果。对于近期的皮下肌腱损伤,根据初始伸展受限情况进行保守治疗(伸展受限小于20度采用改良的斯塔克夹板,大于20度采用蒙森巴黎石膏或特殊敷料)。碎片骨折应通过拔出缝线进行固定。