Rayan G M
Hand Surgery Section/Orthopedic Surgery Department, University of Oklahoma Health Sciences Center, Oklahoma City.
J Hand Surg Am. 1990 Nov;15(6):973-5. doi: 10.1016/0363-5023(90)90026-n.
Three patients are described with distal stenosing tenosynovitis involving the flexor digitorum profundus and the A3 pulley. One patient had isolated distal stenosing tenosynovitis and two patients had combined distal and proximal stenosing tenosynovitis of the flexor digitorum superficialis and the A1 pulley. All three patients with four digits involved had improvement of their symptoms after release of the A3 pulley. When involved, the A1 pulley was released at the same time. Patients with proximal stenosing tenosynovitis may have an associated distal stenosing tenosynovitis that if overlooked may cause persistence of symptoms after surgical treatment.
本文描述了3例患有累及指深屈肌和A3滑车的远端狭窄性腱鞘炎患者。1例患者患有孤立性远端狭窄性腱鞘炎，2例患者合并有指浅屈肌和A1滑车的远端及近端狭窄性腱鞘炎。所有3例累及4个手指的患者在A3滑车松解术后症状均有改善。若A1滑车受累，则同时进行松解。近端狭窄性腱鞘炎患者可能合并有远端狭窄性腱鞘炎，若被忽视，可能导致手术治疗后症状持续存在。
