Goto Kazumi, Murakami Tomoki, Nakamura Takeomi, Saku Isaku
Department of Orthopedic Surgery, Yaizu City Hospital, 1000, Dohbara, Yaizu-shi, Shizuoka 425-8505, Japan.
Trauma Case Rep. 2022 May 24;40:100654. doi: 10.1016/j.tcr.2022.100654. eCollection 2022 Aug.
An 81-year-old man with dementia presented with a third palmar interosseous injury. A fourth flexor digitorum superficialis tendon transfer surgery was performed the following day. The patient achieved adduction of the little finger; however, flexion contracture that began 2 months after the surgery progressed until completion because of issues related to postoperative rehabilitation and home exercise. An injury of the third palmar interosseous muscle is extremely rare and is even more uncommon in older adults. Therefore, careful consideration must be given to determine whether surgery is the best choice, especially if the patient has dementia.
一名患有痴呆症的81岁男性出现第三掌骨间肌损伤。次日进行了第四指浅屈肌腱转移手术。患者实现了小指内收；然而，由于术后康复和家庭锻炼相关问题，术后2个月开始出现的屈曲挛缩不断进展直至完全形成。第三掌骨间肌损伤极为罕见，在老年人中更为少见。因此，必须谨慎考虑以确定手术是否为最佳选择，尤其是对于患有痴呆症的患者。
