Uekubo Kazuaki, Itoh Soichiro, Yoshioka Taro
Department of Orthopaedic Surgery, Kawakita General Hospital, 1-7-3 Asagaya-kita, Suginami-ku, Tokyo 166-8588, Japan.
Hand Surg. 2015;20(1):145-7. doi: 10.1142/S021881041572003X.
A healthy 41-year-old male suffered a direct blow on the palmar side of his right thumb when folding a table, which slipped along his thumb until it was stopped at the inter-phalangeal (IP) joint, resulting in a complete rupture of the flexor pollicis longus (FPL) tendon in zone T I. The proximal tendon stump was passed through the oblique pulley, fixed to the base of the distal phalanx with a pull-out wire technique and augmented on it using a part of the distal tendon remnant. After removal of the cast and the pull-out wire three weeks postoperatively, range of motion exercise was initiated and good functional recovery was obtained.
一名41岁健康男性在折叠桌子时，右手拇指掌侧受到直接撞击，撞击沿拇指滑动，直至在指间（IP）关节处停止，导致T I区拇长屈肌（FPL）肌腱完全断裂。近端肌腱残端穿过斜滑车，采用钢丝拉出技术固定于远节指骨基底，并利用部分远端肌腱残端进行加强。术后三周拆除石膏和钢丝后，开始进行活动度锻炼，功能恢复良好。
