Itoh Y, Horiuchi Y, Takahashi M, Uchinishi K, Yabe Y
J Hand Surg Am. 1987 Jul;12(4):535-40. doi: 10.1016/s0363-5023(87)80203-4.
Extensor tendon involvement in three Smith's and two Galeazzi's fractures are reported. In two cases of previous Smith's fracture, the extensor indicis proprius tendon had been entrapped and ruptured in one case, and in the other the extensor digitorum communis tendon of the index was pierced by the fragment. Both showed a severe tenodesis effect on the index finger and thumb. In a new case of Smith's fracture, long extensor tendons of the fingers and thumb had been trapped beneath a dorsally displaced third fragment making closed reduction impossible. In the two cases of Galeazzi's fracture; in one the extensor carpi ulnaris tendon was trapped between the dorsally displaced ulnar head and the avulsed styloid process and in the other, the extensor digiti minimi tendon was caught beneath the radial border of the dorsally dislocated ulnar head.
报告了3例史密斯骨折和2例盖氏骨折合并伸肌腱损伤的情况。在2例既往史密斯骨折病例中,一例示指固有伸肌腱被卡压并断裂,另一例示指的指总伸肌腱被骨折块刺破。两者均对示指和拇指产生严重的关节固定效应。在1例新的史密斯骨折病例中,手指和拇指的长伸肌腱被卡在向背侧移位的第三骨折块下方,无法进行闭合复位。在2例盖氏骨折病例中,一例尺侧腕伸肌腱被卡在向背侧移位的尺骨头与撕脱的茎突之间,另一例小指伸肌腱被卡在向背侧脱位的尺骨头的桡侧缘下方。