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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.

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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