桡侧腕屈肌腱同时断裂与闭合性桡骨远端骨折。
Concurrent flexor carpi radialis tendon rupture and closed distal radius fracture.
作者信息
Chen Perng-Jong, Liu Andy Li-Jen
机构信息
Department of Trauma, Cathay General Hospital, Taipei, Taiwan.
出版信息
BMJ Case Rep. 2014 Apr 10;2014:bcr2014204196. doi: 10.1136/bcr-2014-204196.
Tendon rupture as a complication of distal radius fractures has been documented; however, flexor tendon rupture associated with closed distal radius fractures is rare. We report a case of a 43-year-old man who suffered a closed distal radius fracture. Intraoperatively, it was discovered that the flexor carpi radialis tendon had ruptured. From the frayed ends of the tendon and review of the radiographs, it was determined that the sharp ends of the fractured radius had lacerated the tendon at the time of injury. After fixation of the fracture with locking plate, the severed tendon was repaired and the wrist immobilised with a splint. The patient has been pain free after 5 months of follow-up, with full range of motion. This outcome demonstrates that timely detection and treatment of concurrent flexor carpi radialis tendon rupture and a closed distal radius fracture can achieve good functional results and outcome.
已有文献记载桡骨远端骨折的并发症包括肌腱断裂；然而，与闭合性桡骨远端骨折相关的屈肌腱断裂较为罕见。我们报告一例43岁男性闭合性桡骨远端骨折病例。术中发现桡侧腕屈肌腱断裂。根据肌腱的磨损末端及X线片复查，确定骨折时桡骨锐利的断端撕裂了肌腱。用锁定钢板固定骨折后，修复断裂的肌腱并用夹板固定腕部。经过5个月的随访，患者已无疼痛，活动范围正常。这一结果表明，及时发现并治疗同时存在的桡侧腕屈肌腱断裂和闭合性桡骨远端骨折可取得良好的功能效果和预后。
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