Hove L M
Bergen Accident and Emergency Department, Haukeland University Hospital, Norway.
Acta Orthop Scand. 1994 Apr;65(2):199-203. doi: 10.3109/17453679408995434.
18 consecutive cases of delayed rupture of the extensor pollicis longus tendon were recorded during 5 years; 4 were spontaneous, and 14 after distal radius fracture, most of which were undisplaced or only slightly displaced. 15 cases were operated upon with tendon transfers: 13 had extensor indicis proprius transfer, 1 transfer of the extensor carpi radialis longus, and 1 reoperated with the extensor communis to the little finger as a motor unit. Subjectively, nearly complete satisfaction was reported; all patients were able to elevate the thumb to the level of the palm and full independent index finger movements were noted. In this 5-year-period 4,400 patients with distal radius fractures were treated, giving an incidence of delayed tendon rupture after distal radius fracture of 0.3 percent.
在5年期间记录了18例拇长伸肌腱延迟断裂的连续病例；4例为自发性，14例发生于桡骨远端骨折后，其中大多数骨折无移位或仅轻微移位。15例患者接受了肌腱转移手术：13例行示指固有伸肌转移，1例行桡侧腕长伸肌转移，1例以小指伸肌总腱作为运动单元再次手术。主观上，报告显示几乎完全满意；所有患者均能将拇指抬高至手掌水平，且示指可完全独立活动。在这5年期间，共治疗了4400例桡骨远端骨折患者，桡骨远端骨折后肌腱延迟断裂的发生率为0.3%。
