Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.
Arthrosc Tech. 2017 Feb 27;6(1):e249-e254. doi: 10.1016/j.eats.2016.09.030. eCollection 2017 Feb.
The deep palmar spaces of the hand include the midpalmar space, the hypothenar space, the thenar space, space of Parona, and the interdigital web spaces. There are various communications between different spaces. These communications are of clinical importance in explaining the spread of inflammatory, infectious, and even neoplasic processes that involve this region. Surgical incision and drainage of all potentially communicating spaces and compartments is mandatory in deep hand infections. The purpose of this technical note is to describe the minimally invasive approach of endoscopic drainage and debridement of the flexor pollicis longus tendon sheath, radial bursa, and thenar space.
手部的掌深部间隙包括掌中间隙、小鱼际间隙、大鱼际间隙、Parona间隙和指蹼间隙。不同间隙之间存在多种交通。这些交通在解释累及该区域的炎症、感染甚至肿瘤性病变的扩散方面具有临床重要性。对于手部深部感染，必须对所有可能相通的间隙和腔室进行手术切开引流。本技术说明的目的是描述内镜下对拇长屈肌腱腱鞘、桡侧滑液囊和大鱼际间隙进行引流和清创的微创方法。
