Tubiana R
Hand Clin. 1986 Feb;2(1):149-56.
The tendency to regard lesions of the flexor tendons of the hand as difficult to repair and those of the extensor tendons as simple to treat is completely arbitrary. Extensor tendons have the advantage of running an almost entirely extrasynovial course, which facilitates the repair. On the other hand, they are thin, superficial structures, and when damaged they tend rapidly to become adherent to the underlying bones and joints. The excursion of the extensor tendons of the hand is considerably less than that of the flexors; thus, a loss of length is more difficult to compensate for. In our experience, management of lesions of the extensor apparatus has given rise to many difficulties. However, failures or partial failures are usually of less consequence than with the flexors.
将手部屈肌腱损伤视为难以修复，而将伸肌腱损伤视为易于治疗，这种倾向是完全主观的。伸肌腱的优势在于其走行几乎完全位于滑膜外，这有利于修复。另一方面，它们是薄而表浅的结构，受损时往往会迅速与下方的骨骼和关节粘连。手部伸肌腱的活动度明显小于屈肌腱；因此，长度的丧失更难补偿。根据我们的经验，伸肌装置损伤的处理带来了许多困难。然而，与屈肌腱损伤相比，失败或部分失败的后果通常较小。
