Varitimidis Sokratis E, Venouziou Aaron I, Dailiana Zoe H, Malizos Konstantinos N
Department of Orthopaedics, University of Thessalia School of Medicine, Mezourlo 41110, Larissa, Greece.
Am J Orthop (Belle Mead NJ). 2009 Feb;38(2):90-2.
An industrial worker in his early 20s sustained a severe injury to the right dominant upper extremity: fracture, inversion, and complete devascularization of the ulna; transection of the median nerve, the radial artery, and almost all flexor tendons of the hand and fingers; loss of all extensor muscles; and transection of the biceps and brachialis muscles at the elbow. Treatment consisted of conversion to one-bone forearm, immediate reconstruction of the biceps and brachialis muscles and of all flexor tendons of the hand, repair of the radial artery and median nerve and late tendon transfer for extension of the wrist and fingers. Two and a half years after injury, the patient had full flexion and extension of the elbow, full extension but limited flexion of the wrist, and full flexion and extension of the fingers.
一名20岁出头的产业工人右侧优势上肢遭受严重损伤：尺骨骨折、内翻并完全缺血；正中神经、桡动脉以及手部和手指几乎所有屈肌腱横断；所有伸肌丧失；肱二头肌和肱肌在肘部横断。治疗包括将前臂转变为单骨，立即重建肱二头肌和肱肌以及手部所有屈肌腱，修复桡动脉和正中神经，后期进行肌腱转移以实现腕部和手指伸展。受伤两年半后，患者肘部屈伸功能正常，腕部可完全伸展但屈曲受限，手指屈伸功能正常。
