Al-Qattan Mohammed M
Division of Plastic and Hand Surgery, King Saud University, Riyadh, Saudi Arabia.
J Hand Surg Am. 2017 Sep;42(9):757.e1-757.e3. doi: 10.1016/j.jhsa.2017.06.010. Epub 2017 Jul 12.
The classic donor motor units for opponensplasty are the flexor digitorum superficialis, the extensor indicis proprius, the palmaris longus, and the abductor digiti minimi. Occasionally, all classic donor motor units are not available for the opponensplasty; a review of the literature revealed that the flexor carpi ulnaris opponensplasty has not been previously described. The surgical technique of the split flexor carpi ulnaris opponensplasty is described in the current paper along with a clinical example. The result in our patient was satisfactory with the ability to oppose the thumb tip to reach the tip of the ring finger with the wrist in neutral position.
用于对掌成形术的经典供体运动单位是指浅屈肌、示指固有伸肌、掌长肌和小指展肌。偶尔，并非所有经典供体运动单位都可用于对掌成形术；文献回顾显示，尺侧腕屈肌对掌成形术此前尚未见报道。本文描述了劈开尺侧腕屈肌对掌成形术的手术技术，并给出了一个临床实例。我们患者的结果令人满意，拇指尖能够在腕关节中立位时与环指尖对掌。
