运动员中锤状指和球衣指损伤的综述。
A review of mallet finger and jersey finger injuries in the athlete.
作者信息
Bachoura Abdo, Ferikes Alex J, Lubahn John D
机构信息
University of Pittsburgh Medical Center (UPMC) Hamot, 201 State Street, Erie, PA, 16505, USA.
Hand, Microsurgery and Reconstructive Orthopaedics, 300 State Street, Suite 205, Erie, PA, 16507, USA.
出版信息
Curr Rev Musculoskelet Med. 2017 Mar;10(1):1-9. doi: 10.1007/s12178-017-9395-6.
PURPOSE OF REVIEW
The purposes of this review are to discuss the diagnosis and management of mallet and jersey finger injuries in athletes and to highlight how treatment impacts return to play.
RECENT FINDINGS
Mallet finger: although numerous non-operative and operative techniques have been described, there continues to be little consensus regarding the optimal procedure. Jersey finger: ultrasound appears to be a cost-effective imaging modality that may be useful for preoperative planning. Wide-awake surgery offers optimal intraoperative assessment of the tendon repair. Tendon repair with volar plate augmentation has been shown to improve the strength of the repair in the laboratory, and early clinical results are encouraging. Most mallet finger injuries will heal with non-operative treatment over a period of 8-12 weeks, even when treatment is delayed up to 3-4 months. An acute diagnosis of jersey finger requires surgical treatment and generally means 8-12 weeks of inability to compete in most contact sports.
综述目的
本综述旨在讨论运动员槌状指和“球衣指”损伤的诊断与管理，并强调治疗对重返赛场的影响。
最新发现
槌状指：尽管已描述了多种非手术和手术技术，但对于最佳手术方法仍几乎没有共识。“球衣指”：超声似乎是一种具有成本效益的成像方式，可能有助于术前规划。清醒局麻手术可提供肌腱修复的最佳术中评估。掌板增强肌腱修复在实验室研究中已显示可提高修复强度，早期临床结果令人鼓舞。大多数槌状指损伤通过8至12周的非手术治疗即可愈合，即使治疗延迟3至4个月也是如此。急性“球衣指”诊断需要手术治疗，通常意味着在大多数接触性运动中8至12周无法参赛。
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