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指深屈肌腱创伤性撕脱。19例报告。

Traumatic avulsion of the flexor digitorum profundus tendon. Report of nineteen cases.

作者信息

Mansat M, Bonnevialle P

出版信息

Ann Chir Main. 1985;4(3):185-96. doi: 10.1016/s0753-9053(85)80001-6.

DOI:10.1016/s0753-9053(85)80001-6
PMID:4083946
Abstract

Avulsion of the profundus tendon of the fingers is a rare lesion. This injury is seen mainly in rugby players and involves more commonly the fourth finger. Nineteen patients are reported in this series which was divided into recent avulsions (6 cases), old avulsions (8 cases) or sequelae of initial ill-founded treatment (5 cases). The importance of proximal retraction, the delay before diagnosis and the involvement of the long vinculum provide the basis for a classification into three types. Treatment consists of distal reinsertion with a "pull out" technique, resection of the profundus tendon or tendon grafting.

摘要

手指深肌腱撕脱是一种罕见的损伤。这种损伤主要见于橄榄球运动员,且更常累及第四指。本系列报道了19例患者,分为近期撕脱伤(6例)、陈旧性撕脱伤(8例)或初始治疗不当的后遗症(5例)。近端回缩的重要性、诊断前的延迟以及长腱纽的受累情况为分为三种类型提供了依据。治疗包括采用“拉出”技术进行远端重新附着、切除深肌腱或肌腱移植。

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