Chen Cheng-I, Lin Hong-Yi, Wu Wei-Ting, Chang Ke-Vin, Özçakar Levent
Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Department of Physical Medicine and Rehabilitation, School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
Diagnostics (Basel). 2024 Jan 25;14(3):257. doi: 10.3390/diagnostics14030257.
Agenesis and hypoplasia affecting multiple flexor tendons within the same hand represent an exceedingly uncommon occurrence, with no previous studies addressing this condition. This report details a 4-year-old girl with agenesis of the right third and fourth fingers, who sought consultation due to the inability to flex her seemingly unaffected second and fifth fingers. Ultrasound examination revealed substantial thinning of the flexor tendons in the second to fifth digits, with a notable absence of attachment to the middle phalanx. In addition to flexor tendon hypoplasia, hypoplasia of the third and fourth middle phalanges was observed. Hand deformities featuring both finger agenesis and flexor tendon hypoplasia across multiple fingers were exceptionally rare. In such instances, ultrasound, in conjunction with radiography, emerges as the recommended initial imaging tool for comprehensive evaluation of both the phalangeal bones and flexor tendons.
同一手部多个屈肌腱的发育不全和发育不良极为罕见，此前尚无针对此病症的研究。本报告详细介绍了一名4岁女童，其右手第三和第四指发育不全，因看似未受影响的第二和第五指无法屈曲前来咨询。超声检查显示，第二至五指的屈肌腱明显变薄，且明显未附着于中节指骨。除屈肌腱发育不良外，还观察到第三和第四中节指骨发育不良。多个手指同时出现手指发育不全和屈肌腱发育不良的手部畸形极为罕见。在此类情况下，超声结合X线摄影，是用于全面评估指骨和屈肌腱的推荐初始成像工具。
