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a:1:{s:5:"en_US";s:66:"Cl ortopedica e traumatologica Università degli studi di trieste ";}.
Acta Biomed. 2022 Mar 10;92(S3):e2021577. doi: 10.23750/abm.v92iS3.12579.
Traumatic subcutaneous index finger both extensor tendons ruptures are rare injuries. Aim of the present paper is to review the literature about this uncommon lesion and to describe the case of 56 years old woman injured when her hand became stuck under a weight during a wrist hyperflexion movement. Surgical treatment was undertaken after 7 days. An extensor digiti minimi (EDM) tendon transfer and a Pulvertaft tenodesis on the index EDC to middle EDC using wide awake local anesthesia no tourniquet (WALANT) technique was performed. The advantage is to allow immediate visualization of active motion and confirmation of appropriate soft tissue tensioning. In our patient no complications were observed and an early rehabilitation program was started. The patient recovered full function at 2 months and resumed hear heavy labour working activity at 4 months.
外伤性示指指伸肌腱止点撕脱伤较为少见。本文旨在复习相关文献，并报道 1 例 56 岁女性病例，其在腕关节极度背伸时手部被重物卡住而受伤。伤后 7 天行手术治疗。采用清醒局麻无止血带（WALANT）技术行小指固有伸肌腱转位术和示指指浅屈肌腱止点重建术。该技术的优点是可以即刻观察主动活动，确认合适的软组织张力。在我们的患者中，未观察到任何并发症，并开始早期康复计划。患者在 2 个月时恢复了全部功能，在 4 个月时恢复了繁重的体力劳动。
