夹板固定在矢状带功能不全和伸肌腱半脱位治疗中的应用

Splintage in the treatment of sagittal band incompetence and extensor tendon subluxation.

作者信息

Peelman J, Markiewitz A, Kiefhaber T, Stern P

机构信息

Mary S. Stern Hand, Fellowship, Cincinnati, OH, USA.

Hand Surgery Specialists, Cincinnati, OH, USA

出版信息

J Hand Surg Eur Vol. 2015 Mar;40(3):287-90. doi: 10.1177/1753193414530591. Epub 2014 Apr 10.

DOI:10.1177/1753193414530591

PMID:24729035

Abstract

UNLABELLED

This study assessed the success of splintage for traumatic and atraumatic sagittal band incompetence and its relationship to the duration of symptoms before treatment. A retrospective review of all patients with sagittal band incompetence treated with splintage was performed. All patients had extensor tendon subluxation on physical examination. Ninety-two patients were included: 68 traumatic and 24 atraumatic. Subluxation resolved with splintage in 77 patients. Traumatic tendon subluxation resolved in 95% of acute injuries, 100% of subacute injuries, and 67% of chronic injures. Atraumatic tendon subluxation resolved in 100% of patients with acute presentation, 67% of patients with subacute presentation, and 57% of patients with chronic presentation. Surgery was rarely required. Splintage proved very effective for acute sagittal band incompetence, regardless of causation, but decreased in efficiency with chronicity.

LEVEL OF EVIDENCE

Level 4.

摘要

未标注

本研究评估了夹板固定治疗创伤性和非创伤性矢状带功能不全的成功率及其与治疗前症状持续时间的关系。对所有接受夹板固定治疗的矢状带功能不全患者进行了回顾性研究。所有患者体格检查时均有伸肌腱半脱位。纳入92例患者：68例创伤性和24例非创伤性。77例患者的半脱位通过夹板固定得到解决。创伤性肌腱半脱位在95%的急性损伤、100%的亚急性损伤和67%的慢性损伤中得到解决。非创伤性肌腱半脱位在100%的急性表现患者、67%的亚急性表现患者和57%的慢性表现患者中得到解决。很少需要手术。夹板固定对急性矢状带功能不全非常有效，无论病因如何，但随着病程延长效率降低。