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桡侧腕屈肌短头的症状性叉状插入。

Symptomatic bifid insertion of the Flexor Carpi Radialis Brevis.

机构信息

Department of Plastic and Reconstructive Surgery, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.

Department of Orthopaedics and Traumatology, AZ Delta, Roeselare, Belgium.

出版信息

Hand Surg Rehabil. 2023 Jun;42(3):254-257. doi: 10.1016/j.hansur.2023.02.003. Epub 2023 Feb 21.

Abstract

A 35 year-old right-handed female presented with persistent wrist pain lasting two years. Imaging disclosed an accessory tendon-shaped structure, identified as a Flexor Carpi Radialis Brevis, strangling the Flexor Carpi Radialis tendon at the wrist during effort. Surgical exploration found the insertion of the Flexor Carpi Radialis Brevis to be bifid. Resection of the stenosing branch and the fibrotic tendon sheath restored strength in the right wrist and painless symmetrical motion compared to the left wrist ten weeks postoperatively.

摘要

一位 35 岁的右利手女性患者出现持续腕痛两年。影像学显示存在一附属肌腱样结构,被确定为桡侧腕屈肌短头肌腱,在用力时会勒紧腕部的桡侧腕屈肌腱。手术探查发现桡侧腕屈肌短头肌腱的止点为二分叉。术后 10 周,狭窄支和纤维鞘切除后,右手腕力量恢复,运动与左侧手腕一样无痛且对称。

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