Voche P, Merle M
Department of Plastic and Reconstructive Surgery of the Locomotor Apparatus, Centre Hospitalier Universitaire, Nancy, France.
J Hand Surg Br. 1995 Feb;20(1):49-52. doi: 10.1016/s0266-7681(05)80016-6.
A method of surgical correction is described for Wartenberg's sign, or persistent abduction of the little finger, using a slip of the extensor digitorum communis of the ring finger. The transferred component can be either the central slip, or the ulnar slip extended by the connexus intertendineus to the little finger. This technique maintains the integrity of the extensor mechanism of the little finger, avoiding loss of active extension, which is frequently observed when extensor digiti minimi is used. The donor site is dependable since the extensor digitorum communis tendon of the ring finger is always composed of several slips. This technique should be considered only in cases of isolated persistent abduction of the little finger, when there is no claw deformity.
本文描述了一种针对瓦滕伯格征（即小指持续性外展）的手术矫正方法，该方法使用无名指指总伸肌的一条肌腱束。转移的部分可以是中央束，或者是通过腱间连接向小指延伸的尺侧束。该技术保持了小指伸肌机制的完整性，避免了主动伸直功能丧失，而使用小指伸肌时经常会出现这种情况。供区可靠，因为无名指指总伸肌腱总是由几条肌腱束组成。这种技术仅适用于孤立性小指持续性外展且无爪形畸形的病例。
