Yacoubi H, Najib A, Daoudi A
Service d'orthopédie, centre hospitalier d'Oujda, Oujda, Maroc.
Chir Main. 2012 Oct;31(5):266-8. doi: 10.1016/j.main.2012.07.002. Epub 2012 Aug 9.
Wartenberg's sign, or permanent abduction of the little finger, occurs in the context of sequelae of ulnar nerve palsy. Its presence alone is rarely reported in the literature and is due to avulsion of the insertion of the third volar interosseous muscle. Several surgical techniques to correct this sign are reported in the literature. The authors report the case of a Wartenberg's sign without ulnar nerve palsy due to traumatic avulsion of the third volar interosseous muscle that was treated by a transfer of the extensor digiti minimi onto the radial side of the extensor digitorium communis according to technique of Bellan et al. After 1-year follow-up, result was good with no recurrence of any deformities and a normal active extension.
瓦滕伯格征，即小指持续外展，见于尺神经麻痹后遗症。文献中单独报道其存在的情况很少见，这是由于第三掌侧骨间肌附着点撕脱所致。文献报道了几种纠正此征的手术技术。作者报告了一例因第三掌侧骨间肌外伤性撕脱导致的无尺神经麻痹的瓦滕伯格征病例，该病例根据贝兰等人的技术，通过将小指伸肌转移至指总伸肌桡侧进行治疗。经过1年的随访，结果良好，无任何畸形复发，主动伸展正常。
