Manske P R, Whiteside L A, Lesker P A
J Hand Surg Am. 1978 Jan;3(1):32-6. doi: 10.1016/s0363-5023(78)80115-4.
The nutrient pathways of flexor tendons within the flexor sheath were studied using the hydrogen washout technique. Hydrogen uptake and decay of a free segment of flexor tendon detached from its blood supply were not significantly different from an intact tendon lying in the synovial bed. There was no hydrogen uptake by flexor tendons which were mechanically separated from the synovial bed, even though muscular, periosteal and vincular attachments were intact. We concluded from this study that the synovium of the flexor tendon was a significant nutrient pathway for the flexor tendon and that the blood vessels did not appear to play a significant role in the nourishment of the flexor tendon.
采用氢洗脱技术研究了屈肌腱在屈肌鞘内的营养途径。从血液供应中分离出的屈肌腱游离段的氢摄取和衰减与位于滑膜床的完整肌腱没有显著差异。即使肌肉、骨膜和腱纽附着完整,从滑膜床机械分离的屈肌腱也没有氢摄取。我们从这项研究中得出结论,屈肌腱滑膜是屈肌腱的重要营养途径,而血管似乎在屈肌腱的营养中不起重要作用。