锤状指损伤的诊断与处理
The Diagnosis and Management of Mallet Finger Injuries.
作者信息
Lamaris Gregory A, Matthew Michael K
机构信息
1 The Cleveland Clinic Foundation, OH, USA.
2 Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
出版信息
Hand (N Y). 2017 May;12(3):223-228. doi: 10.1177/1558944716642763. Epub 2016 Mar 30.
Abstract
BACKGROUND
Mallet finger is a common injury of the extensor tendon insertion causing an extension lag of the distal interphalangeal joint.
METHODS
We reviewed the most current literature on the epidemiology, diagnosis, and management of mallet finger injuries focusing on the indications and outcomes of surgical intervention.
RESULTS
Nonoperative management has been advocated for almost all mallet finger injuries; however, complex injuries are usually treated surgically. There is still controversy regarding the absolute indications for surgical intervention.
CONCLUSIONS
Although surgery is generally indicated in the case of mallet fractures involving more than one-third of the articular surface as well as in all patients who develop volar subluxation of the distal phalanx, a significant advantage of surgical management even in those complicated cases has yet to be clearly proven.
摘要
背景
锤状指是伸肌腱止点处的常见损伤，可导致远侧指间关节伸展滞后。
方法
我们回顾了关于锤状指损伤的流行病学、诊断和治疗的最新文献，重点关注手术干预的指征和结果。
结果
几乎所有锤状指损伤都主张非手术治疗；然而，复杂损伤通常采用手术治疗。手术干预的绝对指征仍存在争议。
结论
虽然对于累及超过三分之一关节面的锤状骨折以及所有出现远节指骨掌侧半脱位的患者通常建议手术治疗，但即使在这些复杂病例中，手术治疗的显著优势尚未得到明确证实。
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Single blind, prospective, randomized controlled trial comparing dorsal aluminum and custom thermoplastic splints to stack splint for acute mallet finger.单盲、前瞻性、随机对照试验，比较用于急性锤状指的背侧铝制夹板和定制热塑性夹板与堆叠夹板。
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Blinded, prospective, randomized clinical trial comparing volar, dorsal, and custom thermoplastic splinting in treatment of acute mallet finger.一项比较掌侧、背侧及定制热塑性夹板治疗急性锤状指的前瞻性、随机、双盲临床试验。
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