Amirtharajah Mohana, Lattanza Lisa
Orthopaedic Institute, University of California-San Francisco, San Francisco, CA.
Orthopaedic Institute, University of California-San Francisco, San Francisco, CA.
J Hand Surg Am. 2015 Feb;40(2):391-7; quiz 398. doi: 10.1016/j.jhsa.2014.06.136. Epub 2015 Jan 1.
The extensor tendons in the dorsum of the hand lie relatively superficially, making open injuries to the extensor mechanism a common source of morbidity. These injuries can range from simple clean lacerations to complex open injuries associated with severe skin and soft tissue loss. Although many advances in the treatment of tendon injuries focused on the flexor tendon, the extensor tendon has begun to receive more attention in recent literature. Knowledge of modern repair techniques and rehabilitation protocols may improve patient outcomes. This Current Concepts article summarizes the treatment of open extensor tendon injuries with a focus on the recent literature.
手背的伸肌腱位置相对表浅,使得伸肌装置的开放性损伤成为常见的发病原因。这些损伤范围从简单的清洁切割伤至伴有严重皮肤和软组织缺损的复杂开放性损伤。尽管肌腱损伤治疗方面的许多进展集中在屈肌腱,但伸肌腱在最近的文献中已开始受到更多关注。了解现代修复技术和康复方案可能改善患者预后。这篇“当前概念”文章总结了开放性伸肌腱损伤的治疗,重点关注近期文献。