Tolerton Sarah, Nabarro Mark
1 Hand Unit, Sydney Hospital, Sydney, Australia.
J Hand Surg Asian Pac Vol. 2019 Mar;24(1):123-126. doi: 10.1142/S2424835519720093.
We report a case of complete laceration of both flexor tendons in the dominant ring finger of a young male caused by a closed volar fracture fragment of the proximal phalanx. Careful clinical examination, reasonable index of suspicion and ultrasound confirmation play a pivotal role in the diagnosis and surgical planning of this rare yet consequential injury. Good outcomes can be achieved from the surgical management and rehabilitation of both soft tissue and bony injuries when planning of surgical approaches and fixation techniques are facilitated by an accurate pre-operative diagnosis.
我们报告一例年轻男性优势环指屈肌腱完全断裂的病例,该损伤由近节指骨掌侧闭合性骨折碎片所致。仔细的临床检查、合理的怀疑指数以及超声确认在这种罕见但后果严重的损伤的诊断和手术规划中起着关键作用。当准确的术前诊断有助于手术入路和固定技术的规划时,对软组织和骨损伤进行手术治疗和康复可取得良好效果。