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小指固有伸肌腱(EDM)转移对小指尺偏的影响。

The Effect of Extensor Digiti Minimi Tendon (EDM) Transfer on Ulnar Deviation of the Little Finger.

作者信息

Akbari Hossein, Saadati Ali, Akbari Peyman

机构信息

Department of Plastic and Reconstructive Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

World J Plast Surg. 2024;13(3):75-78. doi: 10.61186/wjps.13.3.75.

DOI:10.61186/wjps.13.3.75
PMID:39665015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629769/
Abstract

BACKGROUND

The little finger permanent abduction is an annoying deformity usually along with Wartenberg's sign (a consequence of ulnar nerve palsy), but there are several ways to correct this condition in rheumatoid arthritis as well. We aimed to investigate the effect of surgical intervention on patients.

METHODS

The current study was a clinical trial which was done at Hazrat Fatima Hospital of Tehran, Iran from 2020-2022, where 15 patients with an age range of 21-48 years were investigated. All these patients had complications of ulna nerve damage. After the intervention (tendon transfer), the angle change of the fifth finger was compared with before the surgery.

RESULTS

A significant improvement in reducing the angle of the fifth finger after surgery was observed in patients (P<0.05).

CONCLUSION

Tendon transfer is one of the best techniques for the treatment of ulnar injuries.

摘要

背景

小指永久性外展是一种令人烦恼的畸形,通常伴有瓦滕伯格征(尺神经麻痹的结果),但在类风湿性关节炎中也有几种方法可以纠正这种情况。我们旨在研究手术干预对患者的影响。

方法

本研究是一项临床试验,于2020年至2022年在伊朗德黑兰的哈扎特·法蒂玛医院进行,对15名年龄在21至48岁之间的患者进行了调查。所有这些患者都有尺神经损伤的并发症。干预(肌腱转移)后,将第五指的角度变化与手术前进行比较。

结果

患者术后第五指角度减小有显著改善(P<0.05)。

结论

肌腱转移是治疗尺骨损伤的最佳技术之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6665/11629769/ccbc50291034/wjps-13-75-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6665/11629769/ccbc50291034/wjps-13-75-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6665/11629769/ccbc50291034/wjps-13-75-g001.jpg

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1
The Effect of Extensor Digiti Minimi Tendon (EDM) Transfer on Ulnar Deviation of the Little Finger.小指固有伸肌腱(EDM)转移对小指尺偏的影响。
World J Plast Surg. 2024;13(3):75-78. doi: 10.61186/wjps.13.3.75.
2
Investigation of radialization and rerouting of the extensor digiti minimi (EDM) in the abduction deformity of the little finger: a cadaver study.小指外展畸形中尺侧伸肌(EDM)的放射状移位和改道研究:一项尸体研究
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本文引用的文献

1
Correction of ulnar claw hand and Wartenberg's sign.矫正尺侧爪形手和腕下垂征。
Hand Surg Rehabil. 2022 Feb;41S:S118-S127. doi: 10.1016/j.hansur.2020.11.012. Epub 2021 Jul 24.
2
Little finger abduction and adduction testing in ulnar nerve lesions.尺神经损伤时的小指外展和内收试验
Hand Surg Rehabil. 2018 Dec;37(6):368-371. doi: 10.1016/j.hansur.2018.09.006. Epub 2018 Oct 23.
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The Relative Contribution to Small Finger Abduction of the Ulnar Versus Radial Slip of the EDM: Implications for Tendon Transfers.指总伸肌尺侧与桡侧滑动对小指外展的相对贡献:对肌腱转位的启示
Hand (N Y). 2018 Nov;13(6):678-681. doi: 10.1177/1558944717729220. Epub 2017 Sep 6.
4
Management of ulnar nerve injuries.尺神经损伤的处理
J Hand Surg Am. 2015 Jan;40(1):173-81. doi: 10.1016/j.jhsa.2014.04.038. Epub 2014 Nov 6.
5
Investigation of radialization and rerouting of the extensor digiti minimi (EDM) in the abduction deformity of the little finger: a cadaver study.小指外展畸形中尺侧伸肌(EDM)的放射状移位和改道研究:一项尸体研究
Hand (N Y). 2011 Jun;6(2):202-5. doi: 10.1007/s11552-011-9320-1. Epub 2011 Feb 24.
6
Extensor digiti minimi tendon "rerouting" transfer in permanent abduction of the little finger.小指固有伸肌腱“改道”移位治疗小指持续性外展畸形
Chir Main. 1998;17(4):325-33. doi: 10.1016/s0753-9053(98)80033-1.
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Diagnosis of ulnar neuropathy: a new approach.尺神经病变的诊断:一种新方法。
Muscle Nerve. 2000 Apr;23(4):478-81. doi: 10.1002/(sici)1097-4598(200004)23:4<478::aid-mus4>3.0.co;2-4.
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Finger flexion sign for ulnar neuropathy.尺神经病变的手指屈曲征。
J Hand Surg Br. 1998 Apr;23(2):240-1. doi: 10.1016/s0266-7681(98)80184-8.
9
Abducted little finger in low ulnar nerve palsy.尺神经低位麻痹时小指外展。
J Hand Surg Br. 1986 Jun;11(2):234-6. doi: 10.1016/0266-7681(86)90268-8.
10
Extensor digiti minimi tendon transfer to correct abducted small finger in ulnar dysfunction.小指伸肌腱转移术治疗尺神经功能障碍所致小指外展畸形
J Hand Surg Am. 1991 Sep;16(5):819-23. doi: 10.1016/s0363-5023(10)80142-x.