近20年后用于慢性拇长伸肌损伤的示指固有伸肌转移术：1例报告
An Extensor Indicis Proprius Transfer for Chronic Extensor Pollicis Longus Injury After Nearly 2 Decades: A Case Report.
作者信息
Shakya Amir Ratna, Chhetri Prakrit, Kayastha Nirab, Shrestha Sushil, Gaire Binod
机构信息
Department of Orthopedics, SBH, Kathmandu, Nepal.
Department of Orthopedics, NAIHS, Kathmandu, Nepal.
出版信息
JBJS Case Connect. 2025 Aug 25;15(3). doi: 10.2106/JBJS.CC.25.00273. eCollection 2025 Jul 1.
CASE
A 36-year-old soldier presented for foreign training fitness with a history of a fall 18 years previously, that injured his nondominant left wrist. Initially, the injury was managed conservatively with a below elbow cast. Since then, he had been unable to extend the thumb at the interphalangeal joint but adapted well to daily activities. Surgical reconstruction using an extensor indicis proprius (EIP) to extensor pollicis longus (EPL) tendon transfer yielded favorable recovery.
CONCLUSION
This case highlights neglected EPL injury over 18 years and confirms that EIP transfer, when precisely performed, can restore thumb function such as pinch and grip even in very delayed cases.
病例
一名36岁的士兵前来参加国外训练体能评估，他有18年前摔倒致非优势手左手腕受伤的病史。最初，该损伤采用肘部以下石膏保守治疗。从那以后，他一直无法使拇指指间关节伸展，但能很好地适应日常活动。使用示指固有伸肌（EIP）至拇长伸肌（EPL）肌腱转位进行手术重建，取得了良好的恢复效果。
结论
本病例突出了18年以上被忽视的EPL损伤，并证实即使在非常延迟的病例中，精确实施EIP转位也能恢复拇指的捏和抓握等功能。
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