Hölscher L, Lögters T
Abteilung für Unfall‑, Hand- und Orthopädische Chirurgie, St. Antonius Krankenhaus Köln, Schillerstr. 23, 50968, Köln, Deutschland.
Unfallchirurg. 2021 Apr;124(4):258-264. doi: 10.1007/s00113-021-00967-y. Epub 2021 Feb 24.
Injuries of the extensor tendon in zone I are frequently seen. If detected early and treated appropriately they are associated with good functional results. Open injuries are primarily treated surgically by suturing the injured tendon. Closed injuries without bone involvement are treated conservatively. In cases of bone involvement the treatment procedure is determined by the articulation and the extent of fragment displacement. This article presents the current state of knowledge on the diagnostics and treatment of extensor tendon injuries in zone I with the aim of providing treatment recommendations for the clinical routine.
I区伸肌腱损伤较为常见。若能早期发现并得到恰当治疗,通常会取得良好的功能效果。开放性损伤主要通过手术缝合受损肌腱进行治疗。无骨质累及的闭合性损伤采用保守治疗。对于有骨质累及的情况,治疗方法取决于关节情况及骨折块移位程度。本文介绍了I区伸肌腱损伤诊断与治疗的当前知识现状,旨在为临床常规治疗提供建议。