Hettiaratchy S, Tonkin M A, Edmunds I A
Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital University of Sydney and Hornsby Hand Centre, Hornsby Ku-ring-gai Hospital, Sydney, Australia.
J Hand Surg Eur Vol. 2010 Feb;35(2):103-8. doi: 10.1177/1753193409349855. Epub 2009 Oct 14.
Displacement of the neurovascular bundle within a digit affected by Dupuytren's disease can occur when disease superficial to the neurovascular bundle is connected to disease deep to it. Contraction of such cords results in spiralling of the neurovascular bundle, classically when a pretendinous cord connects with the lateral digital sheet and Grayson's ligament via the oblique cord, but also in association with an isolated digital cord. We describe six cases in which cord formation and contraction resulted in a distal spiral, which may occur in isolation or in combination with a classical proximal spiral, creating a double spiral or corkscrew neurovascular bundle.
当神经血管束浅层的疾病与深层的疾病相连时，受杜普伊特伦挛缩症影响的手指内神经血管束可能会发生移位。此类条索的收缩会导致神经血管束呈螺旋状，典型情况是假腱性条索通过斜行条索与指侧皮片和格雷森韧带相连时，但孤立的指条索也会导致这种情况。我们描述了6例条索形成和收缩导致远端螺旋的病例，这种情况可能单独出现，也可能与典型的近端螺旋同时出现，形成双螺旋或螺旋状神经血管束。
