Williamson S C, Feldon P
Tufts Combined Hand Surgery Service, Boston, Massachusetts, USA.
Hand Clin. 1995 Aug;11(3):449-59.
The best treatment for extensor tendon rupture is prevention, either by medical management or surgical tenosynovectomy before tendon ruptures occur. Once a rupture has occurred, tendon transfer or free tendon grafting can provide acceptable restoration of extensor function. Communication with the rheumatologist is necessary to provide timely treatment for chronic dorsal tenosynovitis (and impending tendon rupture) or for single finger extension loss before the disease progresses to multiple finger extension loss. Consideration always must be given to associated joint involvement when planning surgical treatment.
伸肌腱断裂的最佳治疗方法是预防，可通过医学管理或在肌腱断裂发生前行手术腱鞘切除术来实现。一旦发生断裂，肌腱转移或游离肌腱移植可使伸肌功能得到可接受的恢复。与风湿病学家沟通对于在疾病发展为多手指伸展功能丧失之前及时治疗慢性背侧腱鞘炎（及即将发生的肌腱断裂）或单手指伸展功能丧失是必要的。在计划手术治疗时，必须始终考虑相关关节受累情况。
