[扳机指]

[Trigger digits].

作者信息

Durand S, Daunois O, Gaujoux G, Méo S, Sassoon D, Strubé F

机构信息

Groupe Main Provence, clinique Axium, 42 avenue du Maréchal-de-Lattre-de-Tassigny, Aix-en-Provence, France.

出版信息

Chir Main. 2011 Feb;30(1):1-10. doi: 10.1016/j.main.2010.10.004. Epub 2010 Oct 23.

DOI:10.1016/j.main.2010.10.004

PMID:21067957

Abstract

Trigger finger is an entity seen commonly by hand surgeons. It is produced by a size mismatch between the flexor tendon and the A1 pulley, which causes pain, clicking, catching, and loss of motion of the affected finger. The diagnosis is usually easy but other pathological processes (extensor apparatus instability, locked metacarpo-phalangeal joint) must be excluded. Treatment modalities in trigger finger include splinting, corticosteroid injection and/or surgery. Indication depends on the clinical form of trigger finger.

摘要

扳机指是手外科医生常见的一种病症。它是由屈肌腱和A1滑车之间大小不匹配所导致的，会引起疼痛、弹响、卡顿以及患指活动受限。诊断通常较为容易，但必须排除其他病理过程（伸肌装置不稳定、掌指关节绞锁）。扳机指的治疗方式包括夹板固定、皮质类固醇注射和/或手术。治疗指征取决于扳机指的临床症状。