Lombardi R M, Wood M B, Linscheid R L
Department of Orthopedics, Mayo Clinic, Rochester, Minn 55905.
J Hand Surg Am. 1988 May;13(3):325-8. doi: 10.1016/s0363-5023(88)80001-7.
During a 5-year period, 33 patients with pain in the palmar aspect of the wrist and forearm with and without features of carpal tunnel syndrome were diagnosed as having restrictive thumb-index flexor tenosynovitis. The pathognomonic sign in this condition was the simultaneous flexion of the index finger with active flexion of the thumb across the palm. Treatment included either steroid injection into the tendon sheath of the flexor pollicis longus or surgical exploration of the palmar aspect of the distal forearm and wrist region. Twenty-six wrists in 24 patients were surgically explored, and all had hypertrophic tenosynovium between the flexor pollicis longus and index profundus tendons. More than half of the explored wrists had a tendinous connection between the flexor pollicis longus and the flexor profundus of the index digit. Of 17 wrists with follow-up of more than 6 months, 13 were improved by surgical management. Steroid injection did not have a long-term effect.
在5年期间，33例腕部掌侧和前臂疼痛且有或无腕管综合征特征的患者被诊断为拇指-示指屈肌腱狭窄性腱鞘炎。这种疾病的特征性体征是拇指主动屈曲越过手掌时示指同时屈曲。治疗方法包括向拇长屈肌腱腱鞘内注射类固醇或对前臂远端和腕部区域的掌侧进行手术探查。24例患者的26个腕部接受了手术探查，所有患者的拇长屈肌腱和示指深肌腱之间均有肥厚的腱鞘。超过一半接受探查的腕部，拇长屈肌腱和示指屈深肌腱之间存在腱性连接。在17例随访超过6个月的腕部中，13例经手术治疗后病情改善。类固醇注射没有长期效果。
