Rogers G D, Henshall A L, Sach R P, Wallis K A
Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, South Australia.
J Hand Surg Am. 1990 Nov;15(6):990-5. doi: 10.1016/0363-5023(90)90030-u.
Simultaneous laceration of both major nerves with flexor tendons at the wrist is a combination injury familiar to any hand surgeon, which has received scant attention in the English-language literature. The causes and pattern of injury in twenty-six patients treated for this condition over a 10-year period were reviewed. Intensive reassessment of eight of these patients revealed good restoration of hand mobility and strength from the repair of tendons, but the results of nerve repair were less reliable. Tests of hand function indicated that the majority had compensated well for their impairments and seven of the eight had returned to full employment.
手腕处主要神经与屈肌腱同时断裂是任何手外科医生都熟悉的一种复合伤,但在英文文献中很少受到关注。回顾了在10年期间接受治疗的26例此类患者的损伤原因和模式。对其中8例患者的深入重新评估显示,肌腱修复后手部活动度和力量恢复良好,但神经修复的结果不太可靠。手部功能测试表明,大多数患者对其损伤代偿良好,8例中有7例已恢复全职工作。