Comtet J J, Bourne-Branchu B, Herzberg G, Bertrand H G, Loire R
Ann Chir Main. 1985;4(3):226-32. doi: 10.1016/s0753-9053(85)80005-3.
Twelve cases of histologically examined digital collateral arteries severed accidentally during surgery for Dupuytren's disease are presented. All arteries were repaired immediately after specimen retrieval for histological examination. Only one artery had a normal structure; 11 cases showed subendothelial fibrosis while two arteries thrombosed. These changes might account for the confusion of these arteries with adhesions and might explain their severance. Typically the zone involved was the distal part of the palm, in which the neurovascular bundle twists around the spiral cord. We believe that the lesions are a consequence rather than a cause of Dupuytren's disease.
本文报告了12例在治疗Dupuytren病手术过程中意外切断并经组织学检查的指侧副动脉。所有动脉在取下标本进行组织学检查后立即进行了修复。只有1条动脉结构正常；11例显示内皮下纤维化，2条动脉发生血栓形成。这些改变可能是这些动脉与粘连混淆的原因，也可能解释了它们被切断的原因。通常受累区域是手掌远端，神经血管束在此围绕螺旋索扭转。我们认为这些病变是Dupuytren病的结果而非病因。
