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改良的尺神经麻痹全内在康复程序

Modified Total Intrinsic Rehabilitation Procedure for Ulnar Palsy.

作者信息

Purushothaman Venugopal, Joseph Jijo, Ambat Sabari Girish, Vinothkumar Krishnan, Venkataswami Ramaswami

机构信息

Department of Plastic Surgery, Apollo First Med Hospital, P.H. Road, Chennai, Tamil Nadu, India.

出版信息

Indian J Plast Surg. 2020 Dec;53(3):409-415. doi: 10.1055/s-0040-1718857. Epub 2020 Dec 30.

DOI:10.1055/s-0040-1718857
PMID:33402774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7775243/
Abstract

Tendon transfer for ulnar palsy has been an area of interest for many a stalwart in hand surgery, especially in southeast Asian countries, mainly because of the prevalence of Hansen's disease in these countries. Although the procedures look standardized, there are still many lacunae. Here in this article, we discuss about a surgical technique by which all the motor disabilities evolving due to ulnar nerve paralysis are addressed with three sets of tendon transfers performed in a single stage for: (1) key pinch restoration, (2) claw correction and adduction of fingers, and (3) claw correction and abduction of fingers.

摘要

对于手部外科的许多杰出人士来说，尺神经麻痹的肌腱转移一直是一个备受关注的领域，尤其是在东南亚国家，主要是因为这些国家麻风病的流行率较高。尽管手术程序看起来是标准化的，但仍存在许多缺陷。在本文中，我们将讨论一种手术技术，通过在一个阶段进行三组肌腱转移来解决因尺神经麻痹而产生的所有运动障碍，分别用于：（1）恢复关键捏力，（2）矫正爪形手并使手指内收，以及（3）矫正爪形手并使手指外展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/6b6be69e8187/10-1055-s-0040-1718857-4-0504_12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/02f4668b0025/10-1055-s-0040-1718857-4-0504_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/f790f68a270b/10-1055-s-0040-1718857-4-0504_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/c61d2e79d4aa/10-1055-s-0040-1718857-4-0504_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/61fdf397e487/10-1055-s-0040-1718857-4-0504_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/9ef6704e98ae/10-1055-s-0040-1718857-4-0504_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/c245c50bd9c5/10-1055-s-0040-1718857-4-0504_06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/105797f6964c/10-1055-s-0040-1718857-4-0504_07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/53a971bef0cc/10-1055-s-0040-1718857-4-0504_08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/1c3da3059aee/10-1055-s-0040-1718857-4-0504_09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/2497e010faf6/10-1055-s-0040-1718857-4-0504_10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/fd2ab7332305/10-1055-s-0040-1718857-4-0504_11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/6b6be69e8187/10-1055-s-0040-1718857-4-0504_12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/02f4668b0025/10-1055-s-0040-1718857-4-0504_01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/f790f68a270b/10-1055-s-0040-1718857-4-0504_02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/c61d2e79d4aa/10-1055-s-0040-1718857-4-0504_03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/61fdf397e487/10-1055-s-0040-1718857-4-0504_04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/9ef6704e98ae/10-1055-s-0040-1718857-4-0504_05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/c245c50bd9c5/10-1055-s-0040-1718857-4-0504_06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/105797f6964c/10-1055-s-0040-1718857-4-0504_07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/53a971bef0cc/10-1055-s-0040-1718857-4-0504_08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/1c3da3059aee/10-1055-s-0040-1718857-4-0504_09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/2497e010faf6/10-1055-s-0040-1718857-4-0504_10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/fd2ab7332305/10-1055-s-0040-1718857-4-0504_11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3b/7775243/6b6be69e8187/10-1055-s-0040-1718857-4-0504_12.jpg

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引用本文的文献

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本文引用的文献

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Multifinger ab- and adduction strength and coordination.多指内收和外展力量及协调性。
J Hand Ther. 2008 Oct-Dec;21(4):377-85. doi: 10.1197/j.jht.2008.02.002.
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Tendon transfers and arthrodeses in combined median and ulnar nerve paralysis.
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Paralytic claw hand; with special reference to paralysis in leprosy and treatment by the sublimis transfer of Stiles and Bunnell.麻痹性爪形手；特别提及麻风病中的麻痹及斯泰尔斯和邦内尔的拇长屈肌转移术治疗
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Correction of intrinsic-minus hands associated with reversal of the transverse metacarpal arch.伴有掌横弓反转的内收型手的矫正。
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