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掌指关节伸肌腱的慢性疼痛性半脱位

Chronic painful subluxation of the metacarpal phalangeal joint extensor tendons.

作者信息

Saldana M J, McGuire R A

出版信息

J Hand Surg Am. 1986 May;11(3):420-3. doi: 10.1016/s0363-5023(86)80154-x.

DOI:10.1016/s0363-5023(86)80154-x
PMID:3711618
Abstract

Chronic subluxation of the extensor tendons of the metacarpal phalangeal joint has been documented in six patients on active duty in the United States Navy. These patients had painful full flexion and gripping in the knuckle, especially when they were performing their jobs. No extension lag was noted. Three patients had a severed junctura tendinum between the long and index fingers, which was believed to be a contributing factor to extensor tendon subluxation. Local anesthesia was administered to these patients, and the lesions were surgically corrected by reefing of the extensor hood and the sagittal band and repair of the junctura tendinum.

摘要

美国海军现役的6名患者被记录存在掌指关节伸肌腱慢性半脱位。这些患者在指关节处进行完全屈曲和抓握时会感到疼痛,尤其是在执行任务时。未发现伸展滞后。3名患者的示指与中指之间的腱间结合部断裂,这被认为是伸肌腱半脱位的一个促成因素。对这些患者实施了局部麻醉,并通过收紧伸肌帽和矢状带以及修复腱间结合部对病变进行了手术矫正。

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引用本文的文献

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Extensor Tendon Dislocation at the Metacarpophalangeal Joint of Both Ring Fingers Caused by a Specific Hand Posture in a Shiatsu Therapist.一名指压治疗师因特定手部姿势导致双手环指掌指关节伸肌腱脱位
Case Rep Orthop. 2020 Sep 22;2020:6842986. doi: 10.1155/2020/6842986. eCollection 2020.
2
Treatment of Sagittal Band Injuries and Extensor Tendon Subluxation: A Systematic Review.矢状带损伤和伸肌腱半脱位的治疗:系统评价。
Hand (N Y). 2021 Nov;16(6):854-860. doi: 10.1177/1558944719895622. Epub 2020 Jan 22.
3
Functional anatomy of the dorsal hood or the hand: correlation of ultrasound and MR findings with cadaveric dissection.
手部背侧腱鞘的功能解剖:超声和磁共振成像结果与尸体解剖的相关性
Eur Radiol. 2009 Aug;19(8):1849-56. doi: 10.1007/s00330-009-1383-9. Epub 2009 Mar 24.
4
[Closed injuries of the extensor hood of the metacarpophalangeal joint].[掌指关节伸肌帽的闭合性损伤]
Unfallchirurgie. 1997 Dec;23(6):262-6. doi: 10.1007/BF02628923.