Buscemi M J, Page B J
Botsford General Hospital, Farmington Hills, Michigan.
Am J Sports Med. 1987 Jul-Aug;15(4):366-70. doi: 10.1177/036354658701500413.
A review of the current literature reveals that avulsions of the flexor digitorum profundus tendon, with a separate and concomitant intraarticular fracture of the distal phalanx, is an uncommon and easily misdiagnosed injury that has been infrequently described. This report encompasses a review of four patients with such an injury, and includes treatment recommendations for this complex injurious pattern. A classification system for flexor digitorum profundus avulsions is reviewed and it is proposed that the avulsion of the flexor digitorum profundus tendon with concomitant and separate intraarticular fracture of the distal phalanx, be added to the classification as a Type IV injury.
对当前文献的回顾显示，指深屈肌腱撕脱伤合并远节指骨单独的关节内骨折是一种罕见且易被误诊的损伤，此前鲜有描述。本报告涵盖了对4例此类损伤患者的回顾，并包括针对这种复杂损伤模式的治疗建议。文中回顾了指深屈肌腱撕脱伤的分类系统，并建议将指深屈肌腱撕脱合并远节指骨单独的关节内骨折作为IV型损伤添加到该分类中。
