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急性伸肌腱损伤的处理。

Management of Acute Extensor Tendon Injuries.

机构信息

Section of Plastic Surgery, Department of Surgery, Michigan Medicine, University of Michigan, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.

Section of Plastic Surgery, Department of Surgery, Michigan Medicine Comprehensive Hand Center, Michigan Medicine, University of Michigan, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.

出版信息

Clin Plast Surg. 2019 Jul;46(3):383-391. doi: 10.1016/j.cps.2019.03.004. Epub 2019 Apr 16.

Abstract

Thin soft tissue covering extensor tendons make them prone to injury. The extensor mechanism achieves a delicate balance with the flexor system. Inappropriate management in the acute setting can lead to long-term deformity and dysfunction. Acute extensor tendon injuries are usually managed with splinting and/or primary repair of the tendon. In cases of tendon length loss, tendon graft or flap may be necessary for reconstruction. This article presents a series of cases illustrating the appropriate management of traumatic extensor tendon injuries.

摘要

薄的软组织覆盖伸肌腱,使它们容易受伤。伸肌机制与屈肌系统达到微妙的平衡。在急性情况下不当的处理会导致长期的畸形和功能障碍。急性伸肌腱损伤通常采用夹板固定和/或肌腱的一期修复。在肌腱长度丢失的情况下,可能需要肌腱移植或皮瓣来重建。本文介绍了一系列病例,说明了外伤性伸肌腱损伤的适当处理。

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