Peterson W W, Manske P R, Lesker P A
J Hand Surg Am. 1986 May;11(3):413-6. doi: 10.1016/s0363-5023(86)80152-6.
The effect of flexor sheath excision versus sheath incision and repair on the uptake of 3H-proline by profundus tendons in zone II was examined. Proline uptake was measured at 7 days in eight monkeys with intact flexor tendons (group I) and at either 3 or 7 days in eight monkeys with the tendons transected and repaired (group II). In both groups, the flexor sheaths of the digits of the right hand were excised, whereas those of the left hand were incised and repaired. For both the intact and the transected and repaired flexor tendons, it was found that 3H-proline uptake was not improved with sheath closure. The extracellular tissue fluid appeared to be capable of providing nutrients to the tendon in amounts equal to that of the synovial fluid. Therefore, closure of the sheath after primary flexor tendon repair does not appear to be necessary for tendon nutrition, according to the data obtained from experimental studies on the nonhuman primate.
研究了屈指腱鞘切除与腱鞘切开修复对Ⅱ区屈指深肌腱摄取³H-脯氨酸的影响。在八只屈指肌腱完整的猴子（Ⅰ组）中于7天时测量脯氨酸摄取量，在八只屈指肌腱切断并修复的猴子（Ⅱ组）中于3天或7天时测量脯氨酸摄取量。两组中，右手手指的屈指腱鞘均被切除，而左手手指的屈指腱鞘则被切开并修复。对于完整的以及切断并修复的屈指肌腱，均发现腱鞘闭合并未改善³H-脯氨酸摄取。细胞外组织液似乎能够为肌腱提供与滑液等量的营养物质。因此，根据对非人灵长类动物的实验研究获得的数据，一期屈指肌腱修复后腱鞘闭合对于肌腱营养似乎并非必要。
