Furukawa Kayoko, Menuki Kunitaka, Sakai Akinori, Oshige Toshihisa, Nakamura Toshitaka
Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.
Hand Surg. 2012;17(2):217-20. doi: 10.1142/S0218810412720197.
We report a case of Linburg-Comstock syndrome, which is characterized with anomalous tendon slips connecting flexor pollicis longus (FPL) to the flexor digitorum profundus (FDP), usually at the index finger. The present patient started to be a carpenter and was suffering from his disability of flexing the thumb and the index finger independently when he handled the screws in his work. We surgically removed the tendinous connection of the FPL tendon and the index FDP tendon. After surgery, he could work as a carpenter without any difficulty. Surgical disconnection was effective treatment. Dynamic high-resolution ultrasound and three dimensions of computed tomography of the left distal forearm were helpful to confirm the diagnosis.
我们报告一例林堡-康斯托克综合征病例，其特征为存在异常肌腱束，通常在示指处将拇长屈肌腱（FPL）与指深屈肌腱（FDP）相连。该患者为一名木匠，在工作中拧螺丝时，拇指和示指无法独立屈曲，给他带来了不便。我们通过手术切除了FPL肌腱与示指指深屈肌腱之间的腱性连接。术后，他能够毫无困难地继续从事木匠工作。手术切断是有效的治疗方法。左前臂远端的动态高分辨率超声和三维计算机断层扫描有助于确诊。
