Gurich Richard W, Tanksley John A, Pappas Nick D
Orthopedics. 2013 Oct 1;36(10):766-9. doi: 10.3928/01477447-20130920-03.
Concomitant avulsion fractures of the extensor carpi radialis longus and brevis tendons are relatively rare injuries. The usual injury mechanism is forced hyperflexion to an actively extended wrist. No consensus exists regarding the appropriate management of this injury, with some surgeons advocating closed treatment and others favoring operative fixation. The authors describe a novel surgical technique for the late repair of combined extensor carpi radialis longus and brevis tendon avulsion using suture anchor repair of the extensor carpi radialis brevis and tenodesis of the retracted extensor carpi radialis longus to the brevis.
桡侧腕长伸肌和桡侧腕短伸肌腱同时发生撕脱骨折是相对罕见的损伤。常见的损伤机制是在腕关节主动伸展时被迫过度屈曲。对于这种损伤的适当处理尚无共识，一些外科医生主张保守治疗，而另一些则倾向于手术固定。作者描述了一种新颖的手术技术，用于桡侧腕长伸肌和桡侧腕短伸肌腱联合撕脱的晚期修复，即使用缝线锚钉修复桡侧腕短伸肌，并将回缩的桡侧腕长伸肌与桡侧腕短伸肌进行腱固定术。
