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桡骨远端骨折微创钢板接骨术后拇长屈肌腱卡压:一例报告

Flexor pollicis longus tendon entrapment after performing minimally invasive plate osteosynthesis of a distal radius fracture: a case report.

作者信息

Chiu Yen-Chun, Kao Feng-Chen, Tu Yuan-Kun

机构信息

Department of Orthopedics, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan.

出版信息

Hand Surg. 2013;18(3):403-6. doi: 10.1142/S0218810413720246.

Abstract

In this study, we report a case of a 60-year-old woman with diabetes mellitus, who had a left distal radius fracture and could not flex the interphalangeal joint of her left thumb after we performed an open reduction and internal fixation procedure using minimally invasive plate osteosynthesis. Nine days after the first operation, we explored her wrist. We observed that the flexor pollicis longus tendon was compressed by the inserted plate. Then revision surgery and tendon repair were performed. Three months later, the fracture was healed and flexor pollicis longus function recovered well without sequelae. Approach through the interval between flexor carpi radialis and radial artery is preferred to prevent tendon entrapement.

摘要

在本研究中,我们报告了一例60岁的糖尿病女性患者,她发生了左侧桡骨远端骨折,在我们使用微创钢板接骨术进行切开复位内固定手术后,左手拇指指间关节无法屈曲。首次手术后九天,我们对她的手腕进行了探查。我们观察到拇长屈肌腱被植入的钢板压迫。随后进行了翻修手术和肌腱修复。三个月后,骨折愈合,拇长屈肌功能恢复良好,无后遗症。首选通过桡侧腕屈肌和桡动脉之间的间隙入路,以防止肌腱卡压。

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