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腱固定术在年轻篮球运动员慢性锤状指治疗中的应用

The application of tenodermodesis in the treatment of chronic mallet finger in young basketball players.

作者信息

Sever Cem, Kilinc Bekir Eray, Sen Ahmet Eren, Varol Ali, Oc Yunus

机构信息

Department of Orthopaedics and Traumatology, The Pearl International Hospital, Doha, Qatar.

Department of Orthopedics and Traumatology, Health Sciences University, Fatih Sultan Mehmet Training and Research Hospital, D100 Uzeri Hastane Sok. No:1/8 34752 Icerenkoy Atasehir, Istanbul, Turkey.

出版信息

Langenbecks Arch Surg. 2025 Jul 29;410(1):232. doi: 10.1007/s00423-025-03798-2.

Abstract

OBJECTIVE

The aim of this study is to evaluate the outcomes of tenodermodesis in the treatment of chronic mallet finger deformity and to assess its clinical benefits for athletes.

MATERIALS AND METHODS

This study analyzed 15 semi-professional and professional basketball players, aged 13-21, who underwent tenodermodesis for chronic mallet finger between 2015 and 2018. Inclusion criteria included failed conservative treatment for at least six weeks or deformities present for over 10 weeks. Outcomes were measured using Crawford's classification to assess functionality and recovery.

RESULTS

The average age of the patients was 16.5 years. Of the injuries, 60% involved the dominant hand, and the fourth finger was the most commonly affected. All patients returned to active sports within an average of 7.4 weeks. Excellent outcomes were achieved in 86% of cases, with minor residual extension deficits in 20%. No major complications were reported, and no further surgical interventions were required.

CONCLUSION

Tenodermodesis is a reliable, effective surgical technique for chronic mallet finger deformities, especially in young athletes. It allows for a rapid return to sports with excellent functional and aesthetic outcomes, making it an ideal option for active individuals.

摘要

目的

本研究旨在评估腱固定术治疗慢性锤状指畸形的效果,并评估其对运动员的临床益处。

材料与方法

本研究分析了2015年至2018年间接受腱固定术治疗慢性锤状指的15名年龄在13至21岁之间的半职业和职业篮球运动员。纳入标准包括保守治疗至少六周失败或畸形存在超过10周。使用克劳福德分类法测量结果以评估功能和恢复情况。

结果

患者的平均年龄为16.5岁。在这些损伤中,60%累及优势手,第四指是最常受影响的手指。所有患者平均在7.4周内恢复了积极运动。86%的病例取得了优异的效果,20%有轻微的残余伸展缺陷。未报告重大并发症,也无需进一步的手术干预。

结论

腱固定术是治疗慢性锤状指畸形的一种可靠、有效的手术技术,尤其是对于年轻运动员。它能使患者迅速恢复运动,功能和美观效果极佳,是活跃人群的理想选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/139b/12307555/0df01066305b/423_2025_3798_Fig1_HTML.jpg

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