Department of Orthopaedic Surgery, Soonchunhyang University Hospital, 59, Daesagwanro, Yongsangu, Seoul 140743, South Korea.
J Plast Reconstr Aesthet Surg. 2013 Sep;66(9):1291-4. doi: 10.1016/j.bjps.2012.12.032. Epub 2013 Feb 4.
We report a case of a 14-year-old boy who presented with the inability to independently move fingers on either hand. On physical examination, simultaneous flexion of the index, middle and ring fingers was noted when he actively flexed the distal joint of the thumb. A surgical exploration was performed and anomalous tendinous interconnections between the flexor pollicis longus-index flexor digitorum profundus (FDP) and index FDP-middle FDP were observed and removed. The middle- and ring-finger FDP were adhered by thickened tenosynovium and divided. The patient was able to flex the thumb and fingers independently after surgery.
我们报告了一例 14 岁男孩的病例,他表现为无法独立移动双手的手指。体格检查时,当他主动弯曲拇指的远端关节时,注意到食指、中指和无名指同时弯曲。进行了手术探查,观察到并切除了拇长屈肌腱与食指深屈肌腱(FDP)和食指 FDP-中指 FDP 之间异常的腱性连接。中指和环指 FDP 被增厚的腱鞘粘连并分开。手术后,患者能够独立弯曲拇指和手指。