Enna C D
J Hand Surg Am. 1979 May;4(3):227-33. doi: 10.1016/s0363-5023(79)80157-4.
Skeletal deformities of the denervated hand are subtle in their development and pose a more formidable problem than do primary deformities of Hansen's disease. Basic osseous changes consist of concentric, longitudinal, or the longitudinal varying methods of absorption. Knowledge of their pathogenesis provides the basis for their management. Prevention of deformity and conservative management of secondary complications are necessary to salvage as much of the hand as possible.
去神经支配手部的骨骼畸形在发展过程中较为隐匿,且比麻风病的原发性畸形带来的问题更棘手。基本的骨质改变包括同心性、纵向或纵向变化的吸收方式。了解其发病机制为治疗提供了依据。预防畸形和保守处理继发性并发症对于尽可能保留手部功能至关重要。