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类风湿性疾病患者以外的创伤性指伸肌腱脱位的非手术治疗

Nonoperative treatment of traumatic dislocations of the extensor digitorum tendons in patients without rheumatoid disorders.

作者信息

Ritts G D, Wood M B, Engber W D

出版信息

J Hand Surg Am. 1985 Sep;10(5):714-6. doi: 10.1016/s0363-5023(85)80215-x.

Abstract

Traumatic subluxation and dislocation of the extensor digitorum tendons are uncommon in patients without rheumatoid disorders. Management of the acute injury is not well defined in the orthopedic literature. Two cases of traumatic dislocations of the extensor digitorum tendon were seen acutely in young persons without rheumatoid disease. These patients were successfully managed by early closed reduction and immobilization. This treatment had yielded good hand function to date, without recurrence of the dislocation. One of these cases was particularly unusual in that the direction of the tendon dislocation was radial. This particular injury has not been previously described.

摘要

在没有类风湿性疾病的患者中,指伸肌腱的创伤性半脱位和脱位并不常见。骨科文献中对急性损伤的处理方法尚无明确界定。在两名无类风湿性疾病的年轻人中,急性出现了两例指伸肌腱创伤性脱位。通过早期闭合复位和固定,这些患者得到了成功治疗。迄今为止,这种治疗方法已产生了良好的手部功能,且脱位未复发。其中一例尤为特殊,肌腱脱位方向为桡侧。这种特殊损伤此前未曾有过描述。

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