Kang Lana, Carlson Michelle G
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
J Hand Surg Am. 2010 Jul;35(7):1194-7. doi: 10.1016/j.jhsa.2010.04.029.
Injury to the extensor hood at the level of the dorsal metacarpophalangeal joint with instability and subluxation of the extensor tendon might require surgical treatment after failing conservative methods. Surgical techniques for chronic injuries have used local tissue or nearby tendon slips as grafts for tendon realignment, with or without soft tissue release and imbrication. Here we present a technique that creates a bone tunnel for a graft that is sutured upon itself and effectively creates a new pulley.
在手背掌指关节水平处的伸肌帽损伤，伴有伸肌腱不稳定和半脱位，在保守治疗失败后可能需要手术治疗。慢性损伤的手术技术采用局部组织或附近的肌腱束作为肌腱重新排列的移植物，同时或不进行软组织松解和重叠缝合。在此，我们介绍一种技术，即创建一个用于移植物的骨隧道，将移植物自身缝合，从而有效地创建一个新的滑车。
