Neumann Julie A, Leversedge Fraser J
Department of Orthopaedic Surgery, Duke University, Durham, NC.
Sports Med Arthrosc Rev. 2014 Mar;22(1):56-65. doi: 10.1097/JSA.0000000000000012.
Flexor tendon injuries are not common in most sporting venues; however, recognition of the pertinent anatomy, clinical findings, and the utility of diagnostic imaging will assist the clinician in a thorough evaluation of the athlete's hand. Open injuries demand immediate wound care and evaluation as to the integrity of the flexor apparatus; however, closed injuries often present with the challenges of timing: delayed injury presentation and pressures of intervention and return to play. The purpose of this article is to provide a review of the pertinent anatomy of the flexor apparatus of the hand, to identify key aspects of the patient history, clinical evaluation, and diagnostic testing relevant to flexor function, and to discuss treatment options in the setting of injuries to the flexor tendons and flexor pulley system of the hand.
屈指肌腱损伤在大多数运动场所并不常见；然而，了解相关解剖结构、临床发现以及诊断性影像学检查的作用，将有助于临床医生对运动员的手部进行全面评估。开放性损伤需要立即进行伤口处理，并评估屈指装置的完整性；然而，闭合性损伤往往存在时机方面的挑战：损伤出现延迟，以及干预和恢复比赛的压力。本文旨在对手部屈指装置的相关解剖结构进行综述，确定与屈指功能相关的患者病史、临床评估和诊断测试的关键要点，并讨论手部屈指肌腱和屈指滑轮系统损伤的治疗选择。
