Smith P, Breed C
Mount Vernon Hospital, Northwood, Middlesex, United Kingdom.
J Hand Surg Am. 1994 Sep;19(5):840-3. doi: 10.1016/0363-5023(94)90198-8.
This paper stresses the importance of central slip attenuation in the management of Dupuytren's contracture. Such attenuation occurs in patients who have had prolonged proximal interphalangeal joint contractures and is a common problem when the flexion contracture exceeds 60 degrees. The diagnosis can be made at the time of surgical correction by a tenodesis test. If central slip attenuation is confirmed, the postoperative regime described here will give a better correction of what at first might appear to be an intractable proximal interphalangeal joint flexion deformity.
本文强调了中央束松弛在掌腱膜挛缩症治疗中的重要性。这种松弛发生在近端指间关节长期挛缩的患者中，当屈曲挛缩超过60度时是一个常见问题。在手术矫正时可通过肌腱固定试验进行诊断。如果中央束松弛得到证实，此处描述的术后方案将能更好地矫正起初看似难以治疗的近端指间关节屈曲畸形。
