Schöffl V, Winkelmann H-P
Sektionen Sportorthopädie - Sporttraumatologie - Sportmedizin und Chirurgie der oberen Extremität, Klinik für Orthopädie und Unfallchirurgie, Klinikum Bamberg, Bugerstraße 80, 96049 Bamberg.
Orthopade. 2010 Dec;39(12):1108-16. doi: 10.1007/s00132-010-1688-z.
Tendon lesions are the second most common injury in the hand and therefore an important factor in orthopedic patients. Most injuries are open injuries to the flexor or extensor tendons; nevertheless, also less frequent injuries such as damage to the functional system of tendon sheath and pulley or dull avulsions need to be considered. Besides the clinical examination, ultrasound and MRI have proven to be important diagnostic tools. In the postoperative course of flexor tendon injuries, the principle of early passive movement is important to trigger "intrinsic" tendon healing to guarantee a good outcome.
肌腱损伤是手部第二常见的损伤，因此是骨科患者的一个重要因素。大多数损伤是屈指肌腱或伸指肌腱的开放性损伤；然而，也需要考虑一些不太常见的损伤，如腱鞘和滑车功能系统的损伤或钝性撕脱伤。除了临床检查外，超声和磁共振成像已被证明是重要的诊断工具。在屈指肌腱损伤的术后过程中，早期被动活动原则对于触发“内在”肌腱愈合以确保良好预后很重要。
