Çırpar Meriç, Dağlar Bülent, Oktaş Birhan
Kirikkale University, Turkey.
Kirikkale University, Turkey.
Acta Orthop Traumatol Turc. 2017 Oct;51(5):429-431. doi: 10.1016/j.aott.2017.03.016. Epub 2017 Apr 25.
The main complaints in extensor tendon dislocations are pain, swelling, sense of discomfort, snapping and difficulty in writing and forceful flexion. However, congenital extensor tendon subluxations may present with triggering of the fingers due to tendon dislocations. Unnecessary A1 pulley release may be performed for pseudotriggerring with unsuccessful results. Here, we report an unusual case of congenital extensor tendon subluxation of multiple digits with triggering of the left little finger and aim to attract notice to pseudotriggering of the digits due to tendon dislocations. An extensor hood reconstruction performed by an extensor digitorum communis tendon slip which is passed beneath the deep intermetacarpal ligament is a successful choice of treatment for these patients.
伸肌腱脱位的主要症状包括疼痛、肿胀、不适感、弹响以及书写和强力屈曲困难。然而，先天性伸肌腱半脱位可能因肌腱脱位而出现手指卡顿现象。对于假性卡顿进行不必要的A1滑车松解可能效果不佳。在此，我们报告一例罕见的先天性多手指伸肌腱半脱位伴左手小指卡顿的病例，旨在引起对因肌腱脱位导致手指假性卡顿的关注。通过将指总伸肌腱束从掌骨深横韧带下方穿过进行伸肌帽重建，是治疗这些患者的成功选择。
