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[腓骨肌腱外伤性脱位。36例报告]

[Traumatic luxation of the peroneal tendons. Report of 36 cases].

作者信息

Tourné Y, Saragaglia D, Benzakour D, Bezes H

机构信息

Service de Chirurgie Orthopédique et de Traumatologie du Sport, CHU de Grenoble, Hôpital Sud, Echirolles, France.

出版信息

Int Orthop. 1995;19(4):197-203. doi: 10.1007/BF00185221.

DOI:10.1007/BF00185221
PMID:8557412
Abstract

Between January 1970 and September 1992 we operated on 35 patients with dislocation of the peroneal tendons; in 1 patient both sides were affected. Twelve cases were acute and 24 chronic; 83% were due to injuries at sport, 90% of which were in downhill skiers. In 25 cases the fibroperiosteal detachment and the lax tendon sheath were repaired using either the technique of Meary, or that devised by ourselves. Exner suture of the lesion of the main body of the sheath was carried out in 8 cases, and other procedures in the remainder. Ninety two percent of patients had a satisfactory result. The surgical procedure adopted must depend on the patterns of injury, but the majority of cases require fibroperiosteal release with transosseus reattachment of the sheath.

摘要

1970年1月至1992年9月期间,我们为35例腓骨肌腱脱位患者实施了手术;其中1例双侧患病。12例为急性,24例为慢性;83%是由运动损伤所致,其中90%发生在下坡滑雪者身上。25例采用Meary技术或我们自行设计的技术修复纤维骨膜剥离和松弛的腱鞘。8例对腱鞘主体病变进行了埃克斯纳缝合,其余患者采用了其他手术方法。92%的患者取得了满意的效果。所采用的手术方法必须取决于损伤类型,但大多数病例需要进行纤维骨膜松解并将腱鞘经骨重新附着。

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1
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引用本文的文献

1
Conflicts, snapping and instability of the tendons. Pictorial essay.肌腱的冲突、断裂与不稳定。图文并茂的文章。
J Ultrasound. 2012 Feb;15(1):42-9. doi: 10.1016/j.jus.2012.01.002. Epub 2012 Feb 16.

本文引用的文献

1
Treatment of peroneal tendon dislocation by transposition under the calcaneofibular ligament.经跟腓韧带下转位治疗腓骨肌腱脱位
Foot Ankle Int. 1994 Mar;15(3):107-11. doi: 10.1177/107110079401500305.
2
The treatment of recurrent dislocation of the peroneal tendons.腓骨肌腱复发性脱位的治疗
J Bone Joint Surg Br. 1984 Jan;66(1):98-100. doi: 10.1302/0301-620X.66B1.6693487.
3
A rerouting operation for dislocation of peroneal tendons: operative technique and case report.腓骨肌腱脱位的改道手术:手术技术与病例报告
Foot Ankle. 1984 Jul-Aug;5(1):42-4. doi: 10.1177/107110078400500106.
4
[The peroneal tendon syndrome].[腓骨肌腱综合征]
Ann Chir. 1968 May;22(9):641-9.
5
[On a simple procedure for the operative therapy of habitual peroneal tendon luxation].[关于习惯性腓骨肌腱脱位的手术治疗的一种简单方法]
Arch Orthop Unfallchir. 1967;61(2):144-50. doi: 10.1007/BF00418812.
6
A repair operation for recurrent dislocation of peroneal tendons.腓骨肌腱复发性脱位的修复手术。
J Bone Joint Surg Br. 1985 Aug;67(4):585-7. doi: 10.1302/0301-620X.67B4.4030855.
7
Reconstruction of the superior peroneal retinaculum using a portion of the peroneus brevis tendon. A case report.使用部分腓骨短肌腱重建腓骨上支持带。病例报告。
J Bone Joint Surg Am. 1987 Feb;69(2):298-9.
8
[A modified Viernstein and Kelly surgical technic for correcting chronic recurrent peroneal tendon dislocation].[一种改良的Viernstein和Kelly手术技术用于矫正慢性复发性腓骨肌腱脱位]
Z Orthop Ihre Grenzgeb. 1990 Mar-Apr;128(2):170-3. doi: 10.1055/s-2008-1039495.
9
Subluxation of peroneal tendons. Case treated by rerouting tendons under calcaneofibular ligament.腓骨肌腱半脱位。经跟腓韧带下肌腱改道治疗的病例。
J Bone Joint Surg Am. 1975 Jan;57(1):115-6.
10
Acute rupture of the peroneal retinaculum.
J Bone Joint Surg Am. 1976 Jul;58(5):670-2.