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伸直型桡骨远端骨折(Colles骨折)无移位时拇长伸肌腱断裂

Rupture of the extensor pollicis longus tendon in undisplaced Colles' type of fracture.

作者信息

Helal B, Chen S C, Iwegbu G

出版信息

Hand. 1982 Feb;14(1):41-7. doi: 10.1016/s0072-968x(82)80038-7.

Abstract

There is a higher risk that the tendon of extensor pollicis longus will rupture in undisplaced Colles' type of fracture than in those which are displaced. This difference in incidence is due to the integrity of the extensor retinaculum in undisplaced Colles' type of fracture causing the tendon to be held tight against the fracture callus in the floor of the tunnel which may result in an attrition rupture. In the displaced Colles' fracture the extensor retinaculum is torn from the bone and thus permits the tendon to escape from contact with the fracture site.

摘要

与移位的科莱斯骨折相比,无移位的科莱斯骨折类型中拇长伸肌腱断裂的风险更高。这种发病率的差异是由于无移位的科莱斯骨折类型中伸肌支持带的完整性,导致肌腱紧紧贴靠在隧道底部的骨折骨痂上,这可能会导致磨损性断裂。在移位的科莱斯骨折中,伸肌支持带从骨头上撕裂,从而使肌腱能够避免与骨折部位接触。

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