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科雷氏骨折非手术治疗后所有手指屈肌腱(不包括拇指)延迟断裂:一例病例报告及文献综述

Delayed rupture of all finger flexor tendons (excluding thumb) following nonoperative treatment of Colles' fracture: A case report and literature review.

作者信息

Proubasta Ignacio R, Lamas Claudia G, Natera Luis, Arriaga Natalia

机构信息

Orthopaedic Department, Hand Surgery Unit, Hospital Sant Pau (Barcelona), Barcelona Autonoma University, Barcelona, Spain.

出版信息

J Orthop. 2014 Jul 25;12(Suppl 1):S65-8. doi: 10.1016/j.jor.2014.06.012. eCollection 2015 Oct.

Abstract

AIMS

We report a case of delayed all digital flexor tendon ruptures after nonoperative management of distal radius fracture.

METHODS

An 84-year-old woman, noted loss of flexion of your fingers. She had a history of Colles' fracture 40 years before, which had been left untreated. Darrach procedure were carried and a tendon transfers for the flexor tendon ruptures.

RESULTS

Despite attempts of early active mobilisation, a poor operative outcome was observed.

CONCLUSION

Tendon rupture can occur several months or years after the injury, and prompt recognition and treatment can minimize disability.

摘要

目的

我们报告一例桡骨远端骨折非手术治疗后发生的所有手指屈肌腱延迟性断裂病例。

方法

一名84岁女性,手指屈曲功能丧失。她40年前有科雷氏骨折病史,当时未接受治疗。实施了Darrach手术,并对屈肌腱断裂进行了肌腱移植。

结果

尽管尝试了早期主动活动,但手术效果不佳。

结论

肌腱断裂可在损伤后数月或数年发生,及时识别和治疗可将残疾程度降至最低。

相似文献

2
Multiple flexor tendon ruptures following Colles' fracture: a case report.
J Hand Surg Br. 1987 Feb;12(1):112-4. doi: 10.1016/0266-7681_87_90072-6.
5
Rupture of the flexor tendon after malunited Colles' fracture.
Scand J Plast Reconstr Surg Hand Surg. 2003;37(3):188-91. doi: 10.1080/02844310310007836.

本文引用的文献

1
Rupture of all digital flexors following Colles' fracture.Colles 骨折后所有指屈肌腱断裂。
J Plast Reconstr Aesthet Surg. 2012 Oct;65(10):e290-2. doi: 10.1016/j.bjps.2012.04.057. Epub 2012 Jul 5.
7
Rupture of the flexor tendon after malunited Colles' fracture.
Scand J Plast Reconstr Surg Hand Surg. 2003;37(3):188-91. doi: 10.1080/02844310310007836.

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