Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan.
Institute for Integrated Sports Medicine, School of Medicine, Keio University, Tokyo, Japan.
Mod Rheumatol Case Rep. 2020 Jan;4(1):152-155. doi: 10.1080/24725625.2019.1681636. Epub 2019 Oct 24.
We introduced a technique with a volar transfer of the lateral band using the transverse retinacular ligament for swan-neck deformity caused by volar plate injury of the PIP joint. A 61-year-old woman injured her 5th finger and was diagnosed with a volar plate injury of the PIP joint. She presented with snapping of the finger together with the appearance of a swan-neck deformity, and surgery was performed. Dorsally located lateral bands were transferred towards the volar aspect of the finger, and their position was maintained using the transverse retinacular ligament. Improvements in the snapping and swan-neck deformities were confirmed by intraoperative active motion of the finger. One year postoperatively, the deformity had not recurred, and there was no contracture of the finger. Surgical transfer of the lateral band using the transverse retinacular ligament is effective for swan-neck deformity caused by volar plate injury of the PIP joint.
我们介绍了一种使用横韧带来进行外侧束带向掌侧转移的技术,用于治疗由于 PIP 关节掌板损伤引起的鹅颈畸形。一位 61 岁女性的 5 指受伤,被诊断为 PIP 关节掌板损伤。她出现了手指弹响声和鹅颈畸形,接受了手术治疗。将背侧的外侧束带向手指的掌侧转移,并使用横韧带来维持其位置。术中手指主动活动证实了弹响声和鹅颈畸形的改善。术后 1 年,畸形未复发,手指无挛缩。使用横韧带来进行外侧束带的手术转移对于治疗由于 PIP 关节掌板损伤引起的鹅颈畸形是有效的。