Crimmins C A, Jones N F
Division of Plastic Surgery, UCLA, USA.
Ann Plast Surg. 1995 Jul;35(1):105-7. doi: 10.1097/00000637-199507000-00020.
Despite the paucity of reports in the literature, we have found extensor carpi ulnaris tenosynovitis to be relatively common in our practice. A retrospective review of charts revealed 15 patients treated over the last 4 years. Follow-up ranged from 10 to 14 months. All patients had ulnar-sided wrist pain and underwent conservative treatment consisting of splinting and steroid injection. In 7 of the 15 initial treatment failed and surgical release was required. Of these, 3 exhibited partially ruptured tendons from exposed bone and underwent reconstruction of the floor of the compartment. Preoperative x-ray films were helpful in identifying those with bone involvement. All but one patient had a good or excellent result. Stenosing tenosynovitis of the extensor carpi ulnaris may be more common than reported, and early intervention may prevent tendon damage in some patients.
尽管文献报道较少，但我们发现在我们的临床实践中尺侧腕伸肌腱鞘炎相对常见。对病历的回顾性分析显示，在过去4年中有15例患者接受了治疗。随访时间为10至14个月。所有患者均有尺侧腕部疼痛，并接受了包括夹板固定和类固醇注射在内的保守治疗。15例中有7例初始治疗失败，需要手术松解。其中3例肌腱从暴露的骨头上部分断裂，接受了腱鞘底部重建。术前X线片有助于识别有骨质受累的患者。除1例患者外，其他所有患者均取得了良好或极佳的效果。尺侧腕伸肌狭窄性腱鞘炎可能比报道的更为常见，早期干预可能会防止部分患者的肌腱损伤。
