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小薄片,大问题:拇长伸肌腱断裂的一个未报道的原因。

Small flake, big problem: an unreported cause of extensor pollicis longus tendon rupture.

作者信息

Durrant C A T, Bantick G

机构信息

Hand Management Unit, Plastic Surgery Department, Chelsea & Westminster Hospital, London, UK.

出版信息

Ann R Coll Surg Engl. 2010 Jan;92(1):W24-6. doi: 10.1308/147870810X476692.

DOI:10.1308/147870810X476692
PMID:20056056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5696824/
Abstract

Fracture of the base of the third metacarpal with associated avulsion of the extensor carpi radialis brevis tendon is a rare injury. We report such a fracture and the unusual resulting complication of division of the extensor pollicis longus tendon by the avulsed bony fragment. Careful monitoring using lateral radiographs is needed to make the diagnosis and displacement of the avulsed fragment warrants open reduction and internal fixation.

摘要

第三掌骨基底骨折伴桡侧腕短伸肌腱撕脱是一种罕见的损伤。我们报告了这样一例骨折以及撕脱的骨块导致拇长伸肌腱断裂这一不寻常的并发症。需要通过侧位X线片仔细监测以做出诊断,撕脱骨块的移位需要切开复位内固定。

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本文引用的文献

1
Acute rupture of extensor pollicis longus tendon due to avulsed fracture of the second metacarpal base: a case report.第二掌骨基底撕脱性骨折致拇长伸肌腱急性断裂:一例报告
Hand Surg. 2006;11(1-2):43-5. doi: 10.1142/S0218810406003097.
2
Avulsion of the extensor carpi radialis brevis insertion: a case report and review of the literature.桡侧腕短伸肌止点撕脱:一例病例报告及文献复习
Mil Med. 2006 Feb;171(2):136-8. doi: 10.7205/milmed.171.2.136.
3
Rupture of the extensor pollicis longus tendon: a study of aetiological factors.拇长伸肌腱断裂:病因学因素研究
Scand J Plast Reconstr Surg Hand Surg. 2004;38(1):32-5. doi: 10.1080/02844310310013046.
4
Avulsion fracture of the extensor carpi radialis brevis insertion.桡侧腕短伸肌止点撕脱骨折。
J Hand Surg Br. 2001 Dec;26(6):596-8. doi: 10.1054/jhsb.2001.0662.
5
Avulsion fracture of the extensor carpi radialis longus in a rugby player: a case report.一名橄榄球运动员桡侧腕长伸肌撕脱骨折:病例报告
Br J Sports Med. 2001 Apr;35(2):133-5. doi: 10.1136/bjsm.35.2.133.
6
Simultaneous ipsilateral avulsion of the extensor carpi radialis longus and brevis tendon insertions: case report and review of the literature.同侧桡侧腕长伸肌和桡侧腕短伸肌肌腱止点同时撕脱:病例报告及文献复习
J Hand Surg Am. 1999 Jul;24(4):845-9. doi: 10.1053/jhsu.1999.0845.
7
An unreported cause of rupture of the extensor pollicis longus tendon.拇长伸肌腱断裂的一种未报道的病因。
J Hand Surg Br. 1996 Oct;21(5):640-1. doi: 10.1016/s0266-7681(96)80148-3.
8
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J Hand Surg Am. 1993 Jul;18(4):648-51. doi: 10.1016/0363-5023(93)90310-Y.
9
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J Hand Surg Am. 1981 May;6(3):209-19. doi: 10.1016/s0363-5023(81)80072-x.