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儿童足部和踝关节周围的肌腱损伤

Tendon injuries about the foot and ankle in children.

作者信息

Wicks M H, Harbison J S, Paterson D C

出版信息

Aust N Z J Surg. 1980 Apr;50(2):158-61. doi: 10.1111/j.1445-2197.1980.tb06656.x.

DOI:10.1111/j.1445-2197.1980.tb06656.x
PMID:6930233
Abstract

Sixty-four children with tendon injuries about the foot and ankle have been reviewed in order to present a plan of management when such injuries occur. One-third involved the tendo Achillis; the others were equally distributed between the dorsum and sole of the foot, and in only 12% was more than one tendon involved. Sensory nerves were frequently severed, but nearly all recovered completely after early repair. The results of immediate repair of tendons were good. When repair was delayed the results were less satisfactory, as severe deformities developed in the growing feet. Early exploration and surgical repair of selected tendons are recommended to avoid future disability.

摘要

对64例足踝部肌腱损伤的儿童进行了回顾性研究,以便提出此类损伤发生时的处理方案。三分之一的损伤累及跟腱;其他损伤在足背和足底的分布均等,仅有12%的损伤累及不止一条肌腱。感觉神经常被切断,但几乎所有患儿在早期修复后均完全恢复。肌腱即时修复的效果良好。若修复延迟,结果则不太令人满意,因为生长中的足部会出现严重畸形。建议早期探查并对选定的肌腱进行手术修复,以避免日后出现残疾。

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