Department of Plastic Surgery, Royal London Hospital, London, UK.
Br J Hosp Med (Lond). 2020 Nov 2;81(11):1-14. doi: 10.12968/hmed.2020.0141. Epub 2020 Dec 2.
This article provides a comprehensive overview of hand tendon injuries. It has been tailored towards healthcare professionals who will be the first to assess these injuries and instigate appropriate management. It discusses the essential hand anatomy to be aware of, how to assess tendon injuries, their initial management and also the definitive surgical interventions used, if required. Rehabilitation techniques are also discussed, as this is also key to good functional outcomes. Missed injuries, or delay in their diagnosis and referral to specialist hand surgeons, can cause a large amount of morbidity for patients and therefore it is important that they are picked up in a timely manner.
本文对手部肌腱损伤进行了全面概述。内容针对的是将对这些损伤进行初步评估并采取适当治疗措施的医护人员。文中讨论了需要了解的手部基本解剖结构、如何评估肌腱损伤、初始治疗以及必要时采用的确定性手术干预措施。还讨论了康复技术,因为这也是获得良好功能结果的关键。如果漏诊或延迟诊断和转介给手部专科医生,会给患者带来很大的痛苦,因此及时发现这些损伤非常重要。