Rose J, Belsky M R, Millender L H, Feldon P
Department of Surgery, Eastern Virginia Medical School, Norfolk, USA.
J Hand Surg Am. 1996 Jul;21(4):671-4. doi: 10.1016/S0363-5023(96)80024-4.
Treatment of the pain that is caused by neuroma in continuity in a digital nerve on the palmar surface of the hand is a challenging problem. Eight digital nerves were covered with intrinsic muscle flaps after neurolysis to obtain relief of symptoms in eight patients. Four of the cases involved intrinsic muscles for digital nerves in the thumb. Four patients had digital nerves in the palm covered by lumbrical muscle flaps, two of which were distally based. All patients had significant relief of their symptoms. This report describes the techniques used and their application.
治疗手部掌面指神经连续性神经瘤引起的疼痛是一个具有挑战性的问题。8例患者在神经松解术后用固有肌瓣覆盖8条指神经以缓解症状。其中4例涉及拇指指神经的固有肌。4例患者手掌部的指神经由蚓状肌瓣覆盖，其中2例为远端蒂。所有患者的症状均得到明显缓解。本报告描述了所使用的技术及其应用。
