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一例登山者孤立性、被忽视的指浅屈肌皮下断裂的罕见病例:成功的手术治疗及文献综述

A Rare Case of an Isolated Neglected Subcutaneous Rupture of the Flexor Digitorum Superficialis in a Climber: Successful Surgical Treatment and Review of the Literature.

作者信息

Bouziane Walid, Missaoui Ziyed

机构信息

Department of Orthopedic Surgery and Traumatology, University Hospital Mohamed VI Oujda, Oujda, MAR.

Department of Orthopedic Surgery, Grand Hopital de I'Est Francilien, Meaux, FRA.

出版信息

Cureus. 2023 Mar 12;15(3):e36055. doi: 10.7759/cureus.36055. eCollection 2023 Mar.

DOI:10.7759/cureus.36055
PMID:37056545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10090713/
Abstract

Isolated neglected subcutaneous rupture of the flexor digitorum superficialis (FDS) in zone III of the hand is a rare injury that is distinct from subcutaneous rupture of the deep flexor tendons in the fingers. While a few cases have been reported in the literature, the pathophysiology of this injury remains poorly understood. In this article, we present a case study of a climber who experienced an isolated subcutaneous rupture of the FDS following a sports accident. The patient's diagnosis was initially delayed due to an unclear clinical presentation. However, surgical intervention was successfully performed, resulting in positive clinical outcomes at the one-month follow-up. This case highlights the importance of considering isolated subcutaneous rupture of the FDS as a potential injury in climbers and other individuals who engage in high-impact sports.

摘要

手部III区孤立性、被忽视的指浅屈肌(FDS)皮下断裂是一种罕见损伤,与手指深部屈肌腱的皮下断裂不同。虽然文献中报道了少数病例,但这种损伤的病理生理学仍知之甚少。在本文中,我们介绍了一名登山者在一次体育事故后发生孤立性FDS皮下断裂的病例研究。由于临床表现不明确,患者的诊断最初被延误。然而,成功进行了手术干预,在1个月的随访中取得了良好的临床效果。该病例强调了将FDS孤立性皮下断裂视为登山者和其他从事高强度运动的个体潜在损伤的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/5d33958bc06c/cureus-0015-00000036055-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/ae6d95e09bdf/cureus-0015-00000036055-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/aef20b059e18/cureus-0015-00000036055-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/539183c45795/cureus-0015-00000036055-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/5d33958bc06c/cureus-0015-00000036055-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/ae6d95e09bdf/cureus-0015-00000036055-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/aef20b059e18/cureus-0015-00000036055-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/539183c45795/cureus-0015-00000036055-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e42a/10090713/5d33958bc06c/cureus-0015-00000036055-i04.jpg

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本文引用的文献

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Unusual rupture of the middle finger flexor digitorum superficialis tendon in a climber: Biomechanical analysis.攀岩者中指屈指浅肌腱的异常断裂:生物力学分析。
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A successful surgical treatment of a closed rupture of flexor digitorum superficialis in surgeon's hand. A case report and review of literature.外科医生手部指浅屈肌闭合性断裂的成功手术治疗。病例报告及文献复习。
Int J Surg Case Rep. 2020;67:235-238. doi: 10.1016/j.ijscr.2020.01.041. Epub 2020 Feb 6.
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