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腓骨截骨术后拇趾伸展功能单独丧失(作者译)

[The isolated loss of extension of the great toe following osteotomy of the fibula (author's transl)].

作者信息

Stürz H, Rosemeyer B

出版信息

Z Orthop Ihre Grenzgeb. 1979 Feb;117(1):31-8.

PMID:425624
Abstract

A peroneal nerve palsy can be observed following operative procedures or traumatic lesions of the lower leg. Primary damage of the nerve must be differentiated from the tibialis-anterior syndrome and the pseudo-paralysis. Following corrective osteotomies of the tibia with dissection of the fibula in the upper or medial third isolated lesions of the extensor hallucis longus muscle can be seen. Electromyographic and anatomical studies reveal that they may be caused by an isolated damage of the motor nerve fibres connecting the deep branch of the peroneal nerve with the extensor hallucis longus muscle lying very close to the fibula. Suggestions how to avoid this damage are made in the paper.

摘要

小腿手术或创伤性损伤后可观察到腓总神经麻痹。必须将神经的原发性损伤与胫前肌综合征和假性麻痹区分开来。在胫骨矫正截骨术并在腓骨上三分之一或内侧三分之一处进行解剖后,可发现拇长伸肌的孤立性损伤。肌电图和解剖学研究表明,它们可能是由于连接腓总神经深支与非常靠近腓骨的拇长伸肌的运动神经纤维的孤立损伤所致。本文提出了如何避免这种损伤的建议。

相似文献

1
[The isolated loss of extension of the great toe following osteotomy of the fibula (author's transl)].腓骨截骨术后拇趾伸展功能单独丧失(作者译)
Z Orthop Ihre Grenzgeb. 1979 Feb;117(1):31-8.
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引用本文的文献

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Open wedge high tibial osteotomy using fractioned drill osteotomy: a surgical modification that lowers the complication rate.采用分次钻孔截骨术的开放楔形高位胫骨截骨术:一种降低并发症发生率的手术改良方法。
Knee Surg Sports Traumatol Arthrosc. 1996;4(3):149-53. doi: 10.1007/BF01577407.
2
Fractioned drilling--a technique for wedge osteotomy of the knee.分次钻孔——一种膝关节楔形截骨术的技术。
Int Orthop. 1995;19(6):352-4. doi: 10.1007/BF00178347.
3
Effect of upper tibial osteotomy on fibula movement and ankle joint motion.胫骨上段截骨术对腓骨运动及踝关节活动的影响。
Arch Orthop Trauma Surg. 1993;112(5):239-42. doi: 10.1007/BF00451883.
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Neurological complications of high tibial osteotomy--the fibular osteotomy as a causative factor: a clinical and anatomical study.高位胫骨截骨术的神经并发症——腓骨截骨术作为一个致病因素:一项临床与解剖学研究
Ann R Coll Surg Engl. 1995 Jan;77(1):31-4.