Pierrart J, Leclercq C
Institut de la main, clinique Jouvenet, Paris, France.
Chir Main. 2012 Sep;31(4):202-5. doi: 10.1016/j.main.2012.07.004. Epub 2012 Aug 2.
Injuries of the flexor pulleys are common in rock climbers. Ruptures of the flexor profundus tendons are less common and take place almost exclusively in zone I at the level of the distal phalangeal insertion of the tendon. We report the case of a 48 years old rock climber who sustained an uncommon complete rupture of the flexor profundus tendon of the long finger during a monodigital grip. The tear was localized in zone III, immediately distal to the distal edge of the carpal tunnel. Tendon repair by direct suture followed by early active mobilization led to a satisfactory result. To the best of our knowledge, this is the first description of this type of injury in a rock climber.
屈指腱鞘损伤在攀岩者中很常见。指深屈肌腱断裂较少见,几乎仅发生在肌腱远节指骨附着水平的Ⅰ区。我们报告一例48岁攀岩者,在单指抓握时发生罕见的示指指深屈肌腱完全断裂。撕裂位于Ⅲ区,紧邻腕管远侧缘的远侧。直接缝合肌腱修复并早期积极活动,结果满意。据我们所知,这是首例关于攀岩者此类损伤的描述。