Hori M, Nakamura R, Inoue G, Imamura T, Horii E, Tanaka Y, Miura T
Department of Orthopaedic Surgery, Branch Hospital of Nagoya University, Japan.
J Hand Surg Am. 1987 Nov;12(6):1061-5. doi: 10.1016/s0363-5023(87)80112-0.
Twenty-four patients with camptodactyly of their small fingers were treated with a dynamic splint. Most of the patients could extend the proximal interphalangeal (PIP) joints within a few months by using the dynamic splint 24 hours a day. After almost full extension of the proximal interphalangeal joint was achieved, splinting for 8 hours a day produced good final results. However, after the splint was removed, contracture tended to recur. Although further studies are needed to determine the optimum termination of treatment, in our opinion it should be when the growth plate is closed, and longitudinal growth of the finger no longer occurs.
24例小指先天性屈曲挛缩患者接受了动力夹板治疗。大多数患者通过每天24小时使用动力夹板，可在几个月内伸展近端指间（PIP）关节。在近端指间关节几乎完全伸展后，每天夹板固定8小时可取得良好的最终效果。然而，去除夹板后，挛缩往往会复发。尽管需要进一步研究以确定最佳的治疗终止时间，但我们认为应该是在生长板闭合、手指不再有纵向生长的时候。
