Cañadas Moreno Obdulia, Martínez González-Escalada Rosa, Lara García Francisco José
Department of Plastic and Reconstructive Surgery, Virgen de las Nieves University Hospital, Granada, Spain.
Ann Plast Surg. 2012 Feb;68(2):158-60. doi: 10.1097/SAP.0b013e31821453a9.
Closed avulsion, in the absence of pathology, of both flexor digitorum profundus and superficialis tendons from the same finger is uncommon. We report a multiple closed avulsion of long fingers flexor tendons, associated with pulleys rupture in the left hand of a healthy, 16-year-old boy. The lesion was caused by a firecracker blast which the patient had tried to hide. No injuries were found in the volar or dorsal areas of the hand. All affected flexor tendons were reinserted; in addition, second and third digits fourth annular pulleys were resutured to prevent posterior bowstringing. At present, the patient has completely recovered his range of motion and has obtained his driver license.
同一手指的指深屈肌腱和指浅屈肌腱在无病理情况下发生闭合性撕脱并不常见。我们报告了一例健康16岁男孩左手长手指屈肌腱多处闭合性撕脱，并伴有滑车破裂。该损伤由患者试图隐瞒的鞭炮爆炸所致。手掌或手背区域未发现损伤。所有受影响的屈肌腱均重新植入；此外，对第二和第三指的第四环状滑车进行了修复，以防止肌腱向后弓弦样变形。目前，患者已完全恢复活动范围并取得了驾照。
