Gueffier X, Lalonde D, Ahmad Amir Adham
Artezieux Center, 40, avenue des alpes, 38300 Bourgoin Jallieu, France.
Dalhouisie University, Suite C204, 600 Main Street, Saint John, NB E2K 1J5, Canada.
Trauma Case Rep. 2021 Feb 26;32:100446. doi: 10.1016/j.tcr.2021.100446. eCollection 2021 Apr.
A feature of the flexor pollicis longus tendon injury is the frequency of palmar retraction so that a wrist approach is needed for retrieval of the proximal stump. We are reporting on our first outpatient zone T2 flexor pollicis longus tendon repair under WALANT with ultrasound guidance. In the event of zone T2 flexor pollicis rupture, ultrasound location of tendon extremities is used to plan surgical WALANT strategy and to guide the injection of lidocaine with epinephrine whilst limiting the injected volume to what is strictly necessary.
拇长屈肌腱损伤的一个特点是掌侧回缩频繁，因此需要采用腕部入路来找回近端残端。我们报告了首例在超声引导下的清醒局部麻醉下区域T2拇长屈肌腱修复术。在区域T2拇长屈肌腱断裂的情况下，利用超声定位肌腱末端，以规划手术清醒局部麻醉策略，并在严格限制注射量至必要量的同时，指导注射含肾上腺素的利多卡因。
